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Hanoch Talmor, M.D.
Gainesville Holistic
Center
4140-C NW 27th
Lane, Gainesville Florida 32606
Tel: 352-377-0015 E.
mail: talmor@msn.com
Please note:
NEW ADDRES
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Jacksonville
Florida Registration
Date: Saturday, August 14th, 2004
Location: To be announced
7/10/04 Fee: $40 with preregistration and $60 at the
door.
Send checks or money orders to: Gainesville Holistic
Center, 4140 NW 27th Lane Suite C, Gainesville, Florida 32606. Make
checks payable to Dr. Talmor.
(Please complete a form for each participant)
Name:________________________ Date:_______________
Work Phone:____________ Home Phone:_____________
Fax:__________ E-Mail:__________
Workshop hours and location:
There will be a free introductory workshop from 9:00AM
to 12:00 Noon and a practical workshop from 2:00PM to 6:00PM.
Location: to be announced
Please call: 352-377-0015 to register by phone.
PAYMENT METHOD: CHECK__ MONEY ORDER___VISA___MASTERCARD___
AMEX__ Total Charged/Enclosed: _____________
CardNo:______________________________ Expiration Date:_________
Please print and fax form to 1-352-378-1895 .
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