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.