REGISTRATION FORM

 

Energy Tapping for Trauma: How to Eliminate Trauma
Using the New Science of Energy Psychology

 

February 2-3, 2007   Fri 9-6, Sat 9-4

Valhalla Inn, Toronto, (Etobicoke)

 

NAME:_________________________________________________________

 

ADDRESS:______________________________________________________

 

Email:_________________________________________________________

 

PHONE:________________________________________________________

 

PREVIOUS ENERGY PSYCHOLOGY TRAINING_________________________

 

_______________________________________________________________________

 

FEE:                $450 _____

GST:   6%      $   27 _____ 

                         

$400 _____   (if received prior to Jan 15th, 2007)

GST:   6%      $  24 _____

                                    

TOTAL:                  _______

 

 

Payment by Cheque (   )  enclosed,     payable to:   Lesley Hannell Corvino

   mail to:     343 King St. West, Dundas, Ontario, L9H 1W8

 

 

A block of rooms has been kept at the Valhalla for this workshop.
Bookings must be made by Jan 15th, 2007.

 http://www.valhalla-inn.com/  or 1-800-268-2500   to reserve a room