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facial reflexology sign up form _ webpage submission form

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					                                                                                    Sign Up Form


Please complete this sign-up form and return it to info@facialreflexology.org.uk

You will also need to pay your £25 sign up fee. If you haven‟t already done so please click here and use the
„buy now‟ button at the bottom of the page to pay via debit/credit card



Personal Details
Salutation
First Name
Surname
Home Address
Address Line 1
Address Line 2
Address Line 3
Town/City                                                   County
Postal Code                                                 Country
Contact Details
Telephone (incl. Country Code)
Email
Personal Website
Business Details
Business Name
Address Line 1
Address Line 2
Address Line 3
Town/City                                                   County
Postal Code                                                 Country
Telephone (incl. Country Code)
Email
Business Website
Qualifications
Date qualified in Facial Reflexology
Your Trainer's Name
Location where training took place
Date qualified in Cosmo Facial
Your Trainer's Name
Location where training took place
Do you have appropriate insurance
for Facial Reflexology and/or
 Other Professional Qualifications
Cosmofacial?
                                                                               Web Profile Form

Included in the cost of registration is the creation of your very own webpage profile.

Once your profile is created it will be included within our “Find a Therapist” page so that members of the
public can access your information.

Example webpage profiles can be found at :

Example 1, Example 2, Example 3


Webpage Contact Details
Name (Including qualifications as
required)
Required address (this can be your
practice address if required)
Telephone

Email

Fax

Webpage Profile Details



Profile




Webpage Treatments available




Treatments Available




Webpage Treatment costs




Treatment costs




Webpage Treatment times



Treatment lengths

				
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posted:2/2/2010
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