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Family and Ancestor USR Booking Form - 3 people for £340

Book a U.S.R. for three people of two family lines (e.g. two parents and one offspring),
and all deceased ancestors of those lines will receive a U.S.R. too!

Terms and Conditions apply: All parties must be aware of the booking of their U.S.R; acknowledge the date and time of the treatment; and that the U.S.R. preparation practices are understood.

Please allow 24 hours for your order to be processed and acknowledged.
A booking confirmation email will be submitted to the email address provided.

* Your Name: -

Your Occupation: -

* Your Town / Location: -

* Your Email Address: -

* The Date for Healing: (@ 8pm G.M.T.) -

Do you have any medical conditions?: -

Where did you hear about us?: -

* Second person (of same lineage) to have a USR:

* Second persons Town / Location: -

* Third person (second lineage) to have a USR :

* Third persons Town / Location : -

* Do all parties acknowledge the Date and Time?:

Yes

* Do all parties agree with the Terms and Conditions?:

Yes

* All clients (esp. under 16) have given consent?:

Yes

Any further Comments?: -

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