Shopping Cart
Your Cart is Empty
Quantity:
Subtotal
Taxes
Shipping
Total
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Shibashi Qigong Booking Form

 - please print and fill in and post to me -

Revd. John N. Merrill, 32, Holmesdale, Waltham Cross, Herts. EN8 8QY

Tel. 01992 762776

Name ...............................................................................................................................................

Address .............................................................................................................................................

..............................................................................................................................................................

Tel number .......................................................................................

Age....................................... Male or female .............................

Any previous practice?.......................................................................

You can pay on line via this website - Pay for 5 weeks-£25 and get the sixth week free!

Alternatively send cheque - payable to The John Merrill Foundation; in multiples of £5.

Thank you and hope you enjoy the lessons.