Thank you, for your interest in Plexus.
Below is the registration form for the Diploma on Bio-Energy Therapy. Please post the
completed form to:
Plexus Bio Energy,
It is sometimes difficult to outline the real value and effectiveness of the Plexus system by a
written course prospectus alone, so if you would like to find out more about this training
course, contact us by phone or email at the details below.
Many people in Ireland, Germany, UK, Portugal, and USA, including members of the
medical profession, have been trained in the Plexus health-care system and are having great
success with this therapy.
The success of the Plexus system has been well documented in both the national and
For assistance on completing the form, please contact Tina & Michael at the Galway office
by phone on 091-568855 or 087-2810055, or by email at firstname.lastname@example.org .
Plexus Therapist Registration Form
Surname: _______________________ First Name: ___________________________
Work Phone No: _________________ Home Phone No: ______________________
E-mail address: _________________ Date of Birth: _____________________
Marital Status: _________________ Occupation: _____________________
Reasons for taking this course: _______________________________________________
Installment 1: ____________________ Installment 6: _______________
Installment 2: ____________________ Installment 7: _______________
Installment 3: ____________________ Installment 8: _______________
Installment 4: ____________________
Installment 5: ____________________
Signature: _________________________ _
Date: ___________ _