ONLINE APPLICATION FORM


The  application form below is to be submitted by qualified healers and therapists only. 

Your information will be listed in the International Holistic Therapies Directories for your therapy or therapies. If you practise more than one therapy, please submit as many additional application forms as you may require.

Each entry costs only £11 - please click on the Pay Pal Icon below to make a payment for your entry:-

All monies paid for your directory entry will go towards the building fund for The Temple of Peace (http://www.templeofpeace.net)

Once you have made your payment please submit the application form below:

Please provide the following  information:

First name
Last name
Middle initial
Type of Therapy
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

                                                                                

 

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