Abiba Wellness Registration Form For Classes/Seminars/Retreats

Abiba Wellness is a Wellness Haven for Women and is located in New York City & the Quakertown area in Pennsylvania.  Abiba Wellness offers Holistic and Spiritual Healing to empower you with the knowledge to heal yourself naturally.  We have classes/seminars and retreats and also do consultations in person or by mail or e-mail. We combine Western Herbology, Chinese, Tibetan, African, Maya, and other Traditional healing modalities along with Aromatherapy, Essential Oils, Herbs, Nutrition, Hair analysis, Meditation, Reflexology, Reikei, and meditation.  We also have our own uniques line of wellness Products. 

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ABIBA WELLNESS REGISTRATION FORM NAME: ADDRESS:                                      CITY:                             STATE:                    ZIP: HOME PHONE NUMBER                        WORK PHONE NUMBER E-MAIL ADDRESS NAME OF EVENT:                             DATES OF EVENT: PLEASE COMPLETE FOR ANNUAL RETREAT ONLY DOUBLE OCCUPANCY ______    SINGLE OCCUPANCY ____ ROOMMATES NAME (EACH PERSON MUST SUBMIT A REGISTRATION FORM) ATTENDING RETREAT ONLY: TO REGISTER FOR SEMINARS: PENNSYLVANIA SEMINAR NEW YORK CITY SEMINAR _____________________________________________________________________________________ METHOD OF PAYMENT:    CHECK      MONEY ORDER     PAYPAL        CHECKS AND MONEY ORDERS SHOULD BE MAILED.