Around the World 2018

Around the World

Application form
The Around the World section of the Deep Flow website will host your information at a cost of:
- YEARLY: $35 + taxes
- SEASONALLY: $25 + taxes
- International rate: no taxes
This service will help us ensure that all information is always accurate, updated and that all people listed are active Deep Flow Practitioners.

Please fill out the information below and we will contact you to confirm your application.
Personal Information
Full name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
Professional Information
My title is:*

Massage therapist (RMT)Massage practitionerBodyworkerSpa practitionersOther
Do you wish to advertise :*

A private practiceA spaA clinicOther
What is the business name?*
this can be your own name
Town / Province / Country where you work?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website:
Deep Flow courses you have completed:*

Foundation (previously Level 1)In-MotionRestorative BodyworkLevel 2Teacher Training
Your Mantra

Give us an inspirational quote or personal mantra that suits you!
Your mantra*

0/20
Payment information

We will contact you with more information based on your selection.
I wish to pay via*

EtransferPaypalPersonal check
General comments or questions:
Should be Empty:

Around the World