DIANE PIETTE - KINESIOLOGY

TOUCH FOR HEALTH COURSES

APPLICATION FORM

TFH   Level 1:        31 January /1st February 2009

TFH   Level 2:        14/15 March 2009

TFH   Level 3:        25/26 April 2009

TFH   Level 4:        6/7 June 2009

Venue:    Dronfield / Sheffield

Cost:   £190 per level   
          £95 for those repeating the course.
          £690 if 4 levels paid before 2nd of January 2009

Workbook and certificate included.
Student worksheet book not included (£25) but not compulsory
Meals not included.


PLEASE PRINT OUT, FILL IN  AND SEND TO :
Diane Piette, 70 Fanshaw Road,  Dronfield/Sheffield   S18 2LB
Tel  01246 410 737        http://www.dianepiette.co.uk

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Course Level:   ____________________________________      Date _____________________________

Name:      ____________________________________________________________________________________

Address:   ____________________________________________________________________________________

____________________________________________________________________________________

Tel.  __________________________________  mob. ______________________________________

E-Mail:    _________________________________________________________________________

Payment    (deposit  £ 50  non refundable)    Cheque  __________________________________________
           
            Cheques payable to “ Diane Piette”   {please do not post cash}
            Payment 2 weeks before course date


Signed        ____________________________________        Date  __________________________