BodyTalk System Mod 1&2 Registration Form

Module 1&2 Course Details:

Date : Aug 24 – 27
Time : 9am – 5:00pm
Parc Palais, L5 Clubhouse,18 Wylie Rd, Kowloon.
Jordan MTR Station take taxi

With BodyTalk System Instructor: Angie Tourani
Angie is Advance Certified BodyTalk Practitioner, certified Anatomy & Physiology. She has taken post graduate studies in BodyTalk System with PaRama College PaRama Unit 1 & 2 with founder of BodyTalk System, Dr. John Veltheim. She is certified as Access Trainer and Module 1&2 Instructor since 2008. Angie is passionate about BodyTalk, and loves to teach BodyTalk with clarity so people can bring this magic of BodyTalk in their lives.

Student Details and Info(Please complete and return via FAX/EMAIL with your deposit slip) Full Name (in CAPITALS) as you would like it written on your certificate of attendance. Cell Phone Number E-mail Address Date of Course  29th April - 2nd May at PG Seminars Kowloon Physical Address Postal Address Where did you hear about BodyTalk? If you have taken BodyTalk or IBA related seminars before, please write which one/s and the name of your instructor/s. I have read and understood the attached Terms of Registration Have you pre-registered on www.bodytalksystem.com?  Yes I have pre-registered  No, I don’t have internet access PAYMENT DETAILS: Payment Price  Full Price HKD9400,   Early Bird for first 10 to register before 15 Mar HKD8500,   Group Discount for 2 or more & Early Bird HKD8000  Date of Payment Payment method  BANK TRANSFER – HSBC - 817-157027-001  Paypal (angie@tourani.com)  Credit Cards : Visa / Master / Union Pay /Amex  Cheque payable to – BODYTALK LIFE THERAPY CO. MAIL TO Holistic Central, 16/F, Hing Wai Building, 36 Queen’s Road, Central, Hong kong Amount Paid DIRECT TRANSFERS / DEPOSITS: (Mailing address – 18E Greenmont, 21 Discovery Bay, H.K. Cheque payable to "BodyTalk Life Therapy Co.) Date of Payment Account Name: BodyTalk Life Therapy co. HSBC Account 817-157027-838 Please enter text Refresh

Please register on www.bodytalksystem.com as well as this form below.

Forms

• BodyTalk Access Registration Form
• BodyTalk System Mod 1&2 Registration Form
• BreakThrough 1 Registration Form
• Health History Form
• Public Presentation Registration