DIANE PIETTE - KINESIOLOGY



TOUCH FOR HEALTH COURSES


APPLICATION FORM


Venue:    Dronfield, nr. Sheffield

Cost:      £190 per level  
 
             £170 if paid 4 weeks before course.

             £320 for levels 1 and 2 if paid for together 4 weeks before course.
 

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   S1
8 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}


Signed        __________________________                       Date  _____________________