Koshiishi Method Registration Form San Francisco, California, April 6th & 7th, 2019
Taught by Dr. Yuki S Italya, DAOM. She is the only licensed Koshiishi style moxibustion instructor by Koshiishi sensei outside Japan.

DATE: Saturday, April 6th and Sunday, April 7th, 2019
TIME: 9:00 am - 5:30 pm
PRICE: $340 - paid by March 15th, 2019
$360 - after March 15th, 2019
LOCATION: Point of Life Acupuncture, 350 Sansome Street, Suite 730, San Francisco, CA 94104
14 California CEUs
National CEU’s Pending

*Payment must be made by March 15th to qualify for the early bird.

1. Register below (Class is limited)
2. Pay the fee
3. Please wait for an email from us to confirm your payment. (Class is limited.)

Email address *
Full Name *
Your answer
Phone Number we can reach you *
Your answer
How did you find out about this seminar? *
What is your profession? *
Do you need CEU's? (CA 14 CEU pending) *
If you do, please provide your license number with your state.
Your answer
Please make a check payable to: Paola Acuna. Send it to: Point of Life Acupuncture C/O Paola Acuna, 350 Sansome Street,Suite 730, San Francisco, CA 94104 OR Pay through PayPal paypal.me/yukiitaya *
Refund Policy: A full refund will be given after a written cancellation letter has been received by March 6th, 2019. 50% refund will be given after a written cancellation letter has been received between March 6th and 16th. A $20 processing fee will be deducted for all refunds. There is no refund after March 16th, 2019 *
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