Order
Form for Shuichuan Course NZ$375
Send to: Auckland School of Qigong
5 Hillside Road, Palm Beach, Waiheke Island, Auckland, New Zealand
Please
print this form on your own printer, complete the form and post it to
the above address
Date: Payment: VISA - BANKCARD - MASTER - CHEQUE Ordered
By: Card
Nr: Phone: Name
on Card: Email: Expiry
Date: Name: Postal
Address:
Signature:
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