Sunday, February 2, 2014

Registration Form For TAFYH


Register today $277 for limited time only.

Dr. Blass says."A healthy body is warm, full of vigor, radiant energy, magnetism, beauty and power. "
This is the ultimate TAFYH goal.
Donna Roth BA BEd MH  250 764 2852      kdroth@shaw.ca   www.donnaroth.com
Name:____________________________________________________________________________
Address:__________________________________________________________________________
Telephone ______________  Cell ___________________________________
Email address ___________________________________________________
Method of payment:
Credit Card____________________________________________________Expiry Date_____________
Cheque
Cash
Health Issues, if any, you would like addressed: _________________________________________________________________________________