School of Healing Touch

2881 Castro Valley Boulevard, Suite #1

Castro Valley, CA 94546

Tel: (510) 886-0893 Fax: (510) 886-0922

Name:

Address:

City: State: Zip:

Phone: ( )

Current Occupation:

Certificates Acquired, at this time:

Certificate of Attendance for Courses below:

Select	Course	CEU’s	Hours	Tuition Cost
	Segment Reflex Massage Seminar	8	8	$175
	Reiki	8	8	$275
	Acupressure	100	100	$650
	Acupressure	200	200	$1250
	Acupressure, Deep Tissue & Chakra	32	32	$375
	Foot Reflexology	8	8	$275
	Tantra	16	16	$575
	Spa Therapy	22	22	$750
	TMJ Therapy Training	24	24	$575

Total: _______

Please send a check for the total fee for selected courses with this form to the above address.