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First Name
Last Name
Address Line 1
City
State
Zip Code
Daytime Phone() -
E-mail Address
Location of class:
Have you taken BodyTalk Access from Todd or any other BodyTalk Instructor? (yes or no)
Enter credit or debit # with spaces:
Expiration date:
I will be paying by check or cash at the class (yes or no)
I understand that cancellations less than 14 days from the class will result in a $25 fee that can be applied to any class taught by Todd Adkins in the future. (please initial)
Do you need 6 CEU as a Massage Therapist, Social Worker, Holistic Nurse or Acupuncture (yes or no)
Contact:
Todd & Angela Adkins
TAP Seminars & The AWE Group
2940 N. O'Connor Rd., Suite 124
Irving, TX 75062  USA
1-972-255-3600
Fax 972-255-3900
www.alignwithenergy.com
Email:
dallasbodytalk@prodigy.net 


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