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Private Consultation/Coaching with Dr. Alexandra Gayek


Description Item # Quantity Price Each Total
Single consult/coaching session (50 min.) C1 $150 US $__________
Extended single consult/coaching session (up to 90min.) C2 _______ $195 US $__________
Coaching super session (up to 2 hours) C3 _______ $245 US $__________
For FASTEST DELIVERY, we're happy to take your credit/debit card or PayPal order on our secure server at
www.scienceofbeingwell.net/consult.html
.
TOTAL Enclosed (US Funds) $__________


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Mail or FAX this completed form with payment to:

Dr. Alexandra Gayek
PO Box 522
Olga, WA 98279
FAX TO: 206.260.2432

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