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APPLICATION FORM FOR SLOVENIA – 2022

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:
Thursday, 22nd September – Individual therapy (Kranjska c. 11, Radovljica)
Friday, 23rd September – Individual therapy (Kranjska c. 11, Radovljica)
Saturday, 24th September – The healing circle of light (Kranjska c. 11, Radovljica)
Sunday, 25th September – DARSHAN BLESSING (Linhartov trg 1, Radovljica)
Monday, 26th September – Individual therapy (Kranjska c. 11, Radovljica)

HAVE YOU EVER HAD THERAPY?
YES
NO

SPACE FOR YOUR REMARKS OR COMMENTS (OPTIONAL):

INDIVIDUAL THERAPIES

Thursday, Friday, Monday
22nd, 23rd & 26th September

CIRCLES OF LIGHT

Saturday
24th September

DARSHAN BLESSING

Sunday
25th 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.