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Feng Shui Course Application Form
Please write clearly
Name:.....................................................................................(M/F):
.................
Address: ..............................................................................................................
................................................................
e-mail.................................................
Date of Birth: ........................................
Occupation:........................................
Marital Status: .......................................Number
of Children: ..........................
Phone(H): ................................................(Wk):
.................................................
Interests: .............................................................................................................
Religion: ............................................................................................................
Education: ...........................................................................................................
Any previous Feng Shui qualifications or knowledge
acquired:.................
..............................................................................................................................
Details of course you wish to learn and its cost:............................................
............................................................................................................................
Reasons for learning consultants course:.......................................................
..............................................................................................................................
Date:....................................
Signed: ...................................................................
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Dragon,
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London EC2A 3HY, UK
Tel/Fax +44 (020) 7613 3990
or contact Angelina on +44 07986 699 361
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