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APPLICATION FORM FOR SLOVENIA – 2020

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, 3rd April – Individual therapy (ITAU Centre)
Saturday, 4th April – The healing circle of light (ITAU Centre)
Sunday, 5th April – Individual therapy (ITAU Centre)
Monday, 6th April – Individual therapy (ITAU Centre)
Tuesday, 7th April – Gayatri Mantra Workshop (ITAU Centre)

HAVE YOU EVER HAD THERAPY?
YES
NO

SPACE FOR YOUR REMARKS OR COMMENTS (OPTIONAL):

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INDIVIDUAL THERAPIES

Friday, Sunday, Monday
3rd April, 5th April, 6th April 2020

CIRCLES OF LIGHT

Saturday
4th April 2020

GAYATRI MANTRA

Tuesday
7th April 2020

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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