Reiki Kyokai Kan

Membership

Application

Form

 

 

 

 

 

ATTACH

PHOTO

HERE

 

 

 

  Please attach one photo here and send an      additional photo for your membership ID badge

 

 

 

 NAME         
 ADDRESS 
 ADDRESS LINE 2
                                      
 ADDRESS LINE 3
 
 E-MAIL 
CONTACT NUMBER
 
 D.O.B

 

I ...................... confirm I have read, understood and agree to adhere to the Reiki Kyokai Kan Codes of Ethics and Practice and Standards. I also confirm that all the information and documents I have provided are genuine and correct.

 

Signed .........................     Date .................

 

Print ...........................


FOR ADMIN ONLY:

                                                             

 

                                                             

 

                                                             

 

                                                             

 

                                                            

Please use link below for pdf printable version:

http://www.reikikyokaikan.org.uk/MEMBERSHIP APPLICATION FORM.1.pdf