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USR Lite Booking Form - 1 person for £63 (inc.)

Please give us as much information as you can using the form below; as this
will help us develop the most productive treatment approach for you.

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.

* Which service would you be interested in?:

* Recipients Name:

Recipients Occupation

* Recipients Town / Location:

* Recipients Email Address:

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

* Do you have any medical conditions?:

Where did you hear about us?:

* Do all parties acknowledge the Date and Time?:

Yes

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

Yes

* All clients under 16 have given consent?:

Yes

Any further Comments?:

form maker

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