FERTILITY QUESTIONNAIRE
How to discover the causes of your male or female fertility problems
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FERTILITY QUESTIONNAIRE How to discover the causes of your male or female fertility problems |
SEND FOR YOUR QUESTIONNAIRE NOW - Your Questionnaire will be sent to you by email. It is a Word Document and must be answered on a Computer.
IDENTIFY YOUR PROBLEMS AND START ON YOUR COURSE TO SUCCESS
The current cost for the questionnaire requested by post is Aus $55.00 or questionnaire plus Counselling $110.00
Please include a CHEQUE or POSTAL ORDER with your FORM
If you are posting the form from outside Australia, make sure that your cheque is issued by a bank in Australian dollars
Please Print out this PAGE and COMPLETE the FORM
POST THE COMPLETED FORM TO:
"NFS, PO BOX 210, PORT ADELAIDE, SOUTH AUSTRALIA, 5015
| NAME (female) | |
| NAME (male) | |
| Address | |
| Email Address | |
| Phone No. (Home) | |
| I want to have COUNSELLING too so include payment of $110.00
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Please Sign |
| I enclose my cheque/postal order for $55.00
for the purchase of the NFS Questionnaire and Report. |
Please Sign |
The Lifestyle Doctor, Adelaide, South Australia,
Phone 08 8355 4187