Yellow Dragon Chi Kung- Course Order Form

Please print a copy of this form, complete it and post/fax it to us, together with a cheque (UK only) or International Money Order (in £ pounds sterling) payable to YD Photos Ltd.

Please note that all monies paid are non-refundable.

 

Applications
Personal Training
Tick to buy
Total
Iron Back
£4000.00 
 
Iron Throat
£4000.00 
 
Iron Head
£4000.00 
 
Iron Finger
£4000.00 
 
Iron Leg
£4000.00 
 
Iron Ribs
£4000.00 
 
Iron Palm
£4000.00 
 
Iron Shirt
£4000.00 
 
100 day Chi Kung
£6000.00
   
Once you have completed the course you will be issued with a certificate.

 

Chi Kung Course Application Form

Name:.................................................................................................(M/F): ........................

Address ...................................................................................................................................

............................................................................Religion: ...................................................

Date of Birth: ........................................ Occupation:..........................................................

Phone(Home Number): ..............................(Work Number): ..............................................

Email address:......................................................................................................................

Interests: .............................................................................................................................

Education: ...........................................................................................................................

Date:.................................... Signed: ................................................

© 2009 Yellow Dragon
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