Homeopathy Learning Group RSVP
Please fill out and submit this form to attend HLG. Cla $25 (Card) at the event.
* Required
Email address
*
Your email
First Name
Your answer
Last Name
Your answer
Date you would like to attend. Please select all that apply.
*
Thursday, November 14th "Influenza"
Thursday, January 9th "Fever"
Clear selection
Thursday, February 6 "Coughs & Respiratory" (note this is the first Thursday)
Clear selection
If you are new to homeopathy would you like to come 30 minutes early for general information?
*
Yes
No
Other:
Would you like to purchase the remedies being discussed at the meeting? (Pre-order. Invoice will be emailed prior to the event and remedies available for pick-up) $12/vial. $5/remedy in a kit.
"Flu Kit" $40: Ars 200c, Bry 200c, Eup Perf 200c, Ferr Phos 200c, Gels 200c, Nux Vomica 200c, PhosAcid 200c, and Rhus Tox 200c.
Single remedies (I will contact you for final details)
Clear selection
Future Topics I am interested in learning about
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms