EMSRP - Practitioner Training - February to April 2016 - Booking Form

EMSRP - Practitioner Training

EMSRP Booking Form - February to April 2016

* Indicates required field

Name *

First

Last

Profession *

If 'other' please specify: *

Accrediting body: *

Membership/registration number: *

Your Contact Details

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Payment

Payment *

£475 £375 (early bird by 31/12/15)

How would you like to pay? *

Cheque Bank transfer Paypal

Payment Options *

One payment Two Instalments (50% deposit & 50% 4 weeks prior to first training date)

Choose Any *

I confirm that have read the terms and conditions

Terms & Conditions

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Silk House Therapy Practice
Wood Street Mill
45 pickford street
macclesfield
cheshire
sk11 6hb

01625 468 858
info@silkhousetherapypractice.co.uk

psychotherapy macclesfield, counselling macclesfield, cognitive behaviour therapy macclesfield, art psychotherapy macclesfield, relationship therapy macclesfield, couple therapy macclesfield, hypnotherapy macclesfield, homeopathy macclesfield, shiatsu macclesfield, anxiety macclesfield, depression macclesfield, post traumatic stress disorder macclesfield, chronic fatigue syndrome macclesfield, fibromyalgia macclesfield, trauma macclesfield, irritable bowel macclesfield, insomnia macclesfield, obsessive compulsive disorder macclesfield, bipolar disorder macclesfield

Silk House Therapy Practice Ltd | Company No: 11400253 | England & Wales |
Registered office: Wood Street Mill, 45 Pickford Street, Macclesfield, Cheshire, SK11 6HB

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