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This form is to BOOK an appointment. Filling in this form does NOT mean you have paid ! In order to pay please click on the Payment tab, and you will be lead to Paypal. If you have a Dutch bank account, then you can transfer money directly. Details about this are also on the Payment page.
Name
Telephone number:
Email address:
Interested Package :  

In Person Healing € 90
Distance Energy Healing € 75
Telephone Consultation € 60
Chakra & Hara Assessment € 60
Mini Starter € 125
Dutch Gourmet Healing Appetiser € 250
International Gourmet Healing Appetiser € 175
Full-filling Main Course-5 In Person Healings € 400
Full-filling Main Course-5 Distance Energy Healings     
      € 325
Full-filling Main Course-5 Telephone Consultations
      € 250
Heal! en jezelf ook € 345
Heal! de volgende stap € 315
Preferred day(s) of the week
Preferred time of day: Morning
Noon
Afternoon
No Preference
Any other information/comments:
 

 

 
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