Please return this booking form with your payment and completed Assessment form, as soon as possible, so that I can arrange an appointment for you. Please print out this form, fill it in and send in the post to me.

Assessment Consultation fee £10.00

Assessment consultations are held in Ipswich , Lindsey and Woodbridge at:

The Methodist Church Hall, Black Horse Lane, Ipswich.
Lindsey Village Hall, Lindsey.
The Natural Healing Centre & the Complementary Health Centre, Woodbridge.

Please complete, detach & return this voucher
Assessment Booking Form

Name .............................................................  
Address .........................................................  

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

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

Postcode ...................
Telephone No ................................................. Mobile No ....................

I wish to book an appointment for an assessment consultation in
Ipswich
Lindsey
Woodbridge
*Please select your preferred venue.

I enclose my payment of £10.00 with my completed Assessment Form.
(Please make cheques payable to PJ Heath)


For Office use:
Course No............................
Tax ref point.........................
V/c No. ..............................

Client Signature ......................................................... Date ......./........../...... to top