Come for a Free Treatment
We are teaching a 2-days seminar on Zhu’s Scalp Acupuncture to licensed acupuncturists on Aug 29- Aug 30, 2015. We are recruiting patients for live demonstrations. We welcome anyone, preferably who has not been treated before, with an acute condition and visible symptoms to apply for a free treatment session.
Date & Time: Saturday Aug 29th 2 p.m. or Sunday Aug 30th 2 p.m.
Location: Beverly Heritage Hotel (Meeting Room)
1820 Barber Lane, Milpitas, CA 95035
If you are interested to participate as a demo patient, please fill in the form below and email to us at firstname.lastname@example.org or mail/fax to (408) 885-0488 as soon as possible. Space is limited.
Name: (Last) _________________ (First) ___________________
Cell Phone: _____________ Home Phone: ___________________
Work Phone: ____________ Email: ________________________
Date of birth: ____________
Health Condition to be treated:
When did the condition first happen: