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Please Note: RSVP must be postmarked by May 20th to receive the advanced ticket discount.

Children 12-years of age and older may receive treatment with parental consent.

_________Yes, I’ll be attending. Please reserve my time for the following treatments/sessions:

Auricular (Ear) Acupuncture Stress-reduction Treatment ($50.00 at the door):

No. Attending:______ X $40.00 per person (before May 20th) or $45.00 per person (after May 20th)= __________

Additional: Reflexology Session ($20.00 at the door):
No. Attending:______ X $15.00 per person (before May 20th) or $18.00 per person (after May 20th) = __________

I am unable to attend, but I am enclosing a donation (tax deductible): __________

Total enclosed: __________

Please make checks payable to: ACUPUNCTURISTS WITHOUT BORDERS.
Mail check and registration form to: TREE OF LIFE ACUPUNCTURE, Attn: AWB, 220 N. 9TH Street, Allentown, PA 18102. For credit card payment, please call: 610-428-3911.

Names of People Attending to appear on Guest List (please give telephone number of contact person):
______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Please select two time-slot preferences for your time of arrival between 5 pm and 8:30 pm (last treatment/session 8:30 pm). Please register early. Seating limited to 12 per time slot.

1st time slot preference:_________________ 2nd time-slot preference: ____________________

Email Address (for time/map)_______________________________________________________________

A receipt will be sent to you by AWB for your kind and generous donation to the name/address on your check. We look forward to your attendance on May 27th!