BodyTalk System Mod 1&2 Registration Form

BodyTalk System Mod 1&2 Registration Form

Module 1&2 Course Details:

Dates :
April 29th - May 2nd 2011

Time : 9am-5pm

Venue –   P. G. Seminars, 13fl, Rightful Centre, 11-12 Tak Hing Street, Jordan, Kowloon (MTR Exit E)


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
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?

PAYMENT DETAILS:
Payment Price      
Date of Payment
Payment method



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