Stephen Turoff

DANBURY CLINIC Application form – Individual therapies Please, select the therapy: (three consequent therapies are recommended)

*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

Telephone:

Exact address:

Code number, city:

Please, select and enter the date of therapy:

May 2012:

2.5.
8.5.
16.5.
17.5.
22.5.
23.5.
29.5
30.5.

June 2012:

7.6.
8.6.
11.6.
22.6.
26.6.
27.6.

July 2012:

3.7.
4.7.
10.7.
11.7.
24.7.
25.7.

August 2012:

1.8.
2.8.
9.8.
13.8.
22.8.
23.8.
26.8.

September 2012:

4.9.
5.9.
10.9.
21.9.
25.9.
26.9.

Your message:

Choose time between: 9.30 and 13.30

I had therapies before?

YES
NO

Security Code *

* I hereby agree to accept the healing freely and at my own risk. I am aware of the fact that Stephen Turoff is not a doctor and that his healing is complementary, not alternative. It does not replace traditional medical treatment or therapy.

IMPORTANT NOTICE! Don’t underestimate the consequences of this deep and holistic healing. Save your energy and spend the day in a peaceful and relaxed atmosphere. If you come together with your family or friends, they can pick you up after therapy or wait for you peacefully in the waiting room.
INFORMATION AND APPLICATION for Slovenia and EU :

ZAVOD ITAU,Ljubljanska cesta 11, SI-4260 Bled -Slovenia
T: 00386 4 578 04 08, E-mail: bredav@siol.netContact information – United Kingdom : Turoff Danbury Clinic, Miami Hotel-Princes Road
Chelmsford, Essex CM2 9AJ – United Kingdom Phone U.K.: 0 1245 348 325 International: +44 1245 348 325
Email: ministrymoe@yahoo.co.ukOpening hour: 9.30 am – 1.30 pm ** The clinic is open on specific dates only – see Calendar.