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Workshops Workshop Schedule Oct 2017-Jan 2018

Time:2017.10.22 18:48 5447


For registration:

Online link: 

http://paidalajin.com/rSpatasteNotice?type=1


or scan the above QR code with your mobile phone to download app


or Fill in the form below and send to 2597006392@qq.com 
  
 

 

For information:
        
Tel : (010) 64130582, 4000-650-970, 13661058751,   
 
Email: 2597006392@qq.com 

 
If you’d like to attend a workshop, please fill in the registration form below and send it to the above email
 
Paida and Lajin Workshop Registration Form
 
* Please fill in the form below. Do not leave the spaces blank. Fill in N#A if you cannot provide relevant information.
 
Workshop Duration:
 
From _____________________________ (month/date/year)
 
To _____________________________ (month/date/year)
 
Given Name:
 
Family Name:
 
Gender:
 
Age:
 
Valid ID NO.:
 
Valid passport No. & Nationality or Other Documents: 
 
Current Employer:
 
Professional Title: 
 
Home Tel.:
 
Office Tel.: 
 
HP:
 
E-mail:  
 
Address & Postal Code:
 
 
Source of Information about the Workshop:
 
(√) Internet ( ) Books ( ) Messages ( ) Friends ( ) Others: ____________________
 
 
What health problems do you have? 
 
Neck problem ( ) Lower back and leg pain ( ) Constipation ( ) Frozen shoulder ( ) Insomnia ( ) Obesity ( ) Heart problem(s) ( ) High blood pressure ( ) Diabetes ( ) Gynecological / prostate disorders ( ) Others: __________________________
 
I hereby state that 
1) The above information is true and accurate;
2) I shall bear all the consequences resulting from false information. 
 
Applicant Signature:_________________________________________________ 
(*Registration deemed unsuccessful without the signature above.) 
 
Date: ____________________________ (month/date/year)
 
 
May you always enjoy good health and happiness! 

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