Physiology Human Body Booking Form Ahlmeirah Ariel Hallaire Center for Conscious Ascension

Physiology Booking Form
Complete the details below and send with cheque made payable to Dr. A.S.Hallaire 1B Locke King Road Weybridge Surrey KT 13 OSY United Kingdom
We are now able to offer you payment facilities by credit card and Switch/Solo. All you need to have is a valid email address.This is subject to a 3.4% Paypal Credit card fee.Email us if you wish to use this facility and indicate the amount you wish to pay.Please also send in this form.

Tick Appropriate Box:
Fee:	£395
Non-Refundable Deposit	£70
All fees are to be in pounds sterling drawn on a UK bank
Name
Address
Telephone
Email
How did you find out about this workshop?

Click here for Accomodation
Click here for Directions

Physiology Booking Form