Indian Head Massage - booking form

Booking Form

To book on a course, please print out this page and post it, along with a £30 deposit (non refundable), to:
Helen Wilkins, 19 Oak Street, Ealees, Littleborough, Lancs, OL15 0HH.
(Cheques should be made out to Helen Wilkins.)

Course: (Please circle)

Indian Head Massage

Hopi Candling

Chakra Balancing

Date of Course:

Name:
Address:

	Postcode:
Tel:
Email:
Please give a brief description about yourself: