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Registration for Energy Medicine Conference
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28 April, 9h30 -15h30
At The Novalis Ubuntu Institute
Donation R450
-
payments can be made now or later
Please fill in a separate form for each person attending.
Full Name
*
Your answer
Title
*
Your answer
Energy Medicine Modality Practice
*
Your answer
Email Address
*
Your answer
Cell Number
*
Your answer
Dietary Requirements
*
No Restrictions
Vegetarian
Vegan
No Red Meat
Gluten Free
Milk Free
Halal
Kosher
Other:
Required
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