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Personal Details	* - Required Fields
Name	*
Address

Town
County
Postcode

Gender	*
DOB	i.e. DD-MM-YY

Contact Details
Email	* For bookings confirmation... ...check in next 24 hours.
Tel	*
Mobile
Work Tel

Treatment (Please check available slots)
Treatment	*
Day	* Subject to confirmation.
Time	* Subject to confirmation.
Sessions.	* Subject to confirmation.
Please Note : All treatments are £10 per 15 minute session. The *maximum* number of consecutive sessions in a single visit is 4 (1 hour / £40). Distance Healing and treatment via the telephone - please pay in advance.

Payment Options	Choose one.	See next page for Online Payment details (after clicking the Book Now button.)
PayPal	Pay online now
Credit Card	Pay online now
Cash	Pay at your visit.
Cheque	Pay at your visit.

By clicking the Book Now button, you agree and accept the Terms & Conditions set out at this website; which are designed to protect us both. Until confirmed, your booking will be provisional and will only become a binding contract when it is confirmed by email or via receipt on company stationary.

Booking Form - Treatments

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