00386 4 578 04 08 info@itau.si

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    APPLICATION FORM FOR SLOVENIA – September 2023

    Please, select the therapy:

    YOUR NAME ( required field)

    EXACT ADDRESS ( required field)

    CODE NUMBER, CITY ( required field)

    PHONE ( required field)

    E-MAIL ( required field)

    PLEASE, SELECT AND ENTER THE DATE OF THERAPY:

    Friday, 29th September – Individual therapy (Kranjska c. 11, Radovljica)
    Saturday, 30th September – The healing circle of light (Kranjska c. 11, Radovljica)
    Sunday, 1st October – Individual therapy (Kranjska c. 11, Radovljica)
    Monday, 2nd October – Individual therapy (Kranjska c. 11, Radovljica)

    HAVE YOU EVER HAD THERAPY?

    YES
    NO

    SPACE FOR YOUR REMARKS OR COMMENTS (OPTIONAL):

    INDIVIDUAL THERAPIES

    Friday, Sunday, Monday
    29th September, 1st & 2nd October

    CIRCLES OF LIGHT

    Saturday
    30th September

    IMPORTANT!!!

    I hereby agree to accept the treatment freely and at my own risk. I am aware of the fact that Stephen Turoff is not a doctor and that his therapy is complementary, not alternative.
    We strongly urge you to continue with any medical treatment and medication programme until advised to stop by your doctor.

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