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IICT Practitioner Directory Listing -- Standard

Fill out the form below and click "submit" to purchase your Standard IICT Directory Listing. Do not put spaces in credit card number entry.

Title
DR MISS MR MRS MS

First Name *

Last Name*

Email *

Practitioner Name

Practice Name

Address of Business

Practitioner Qualifications to appear in listing

Phone Number

Mobile Phone Number

Practice email address

website address

The principal healing modality for my listing is
-- Please Select -- Access Energy Transformation Acupuncture Acupressure Alexander Technique Allergy Testing/Treatments Animal Therapies Aqua Detox Aromatherapy Art Therapy Asthma Rehabilitation Astrology Aura-Soma Ayurveda Bates Method Beauty Therapy Bio Feedback Body Harmony BOWEN Brain Gym Breathwork Bush Flowers Buteyko Chakradance Chinese Medicine Chiropractic Colonic Irrigation Counselling Colour Therapy Core Energetics Craniosacral Balancing Crystal Therapy Dance/Movement Therapy Day Spas Demartini Method Diet Dorn Method Doula Dr. James Method Ear Candling EMF Balancing Emmett Technique EFT Emotional Freedom Technique ENAR Energy Healing Exercise Feldenkrais Feng Shui Flower Essence Therapy Free to be Me Gestalt Therapy Healing Touch Heal Your Life Hellerwork Holographic Repatterning Herbal Medicine Homoeopathy Hypnotherapy Inner Child Iridology Kinergetics Kinesiology Laser Therapy Life Coaching Lymphatic Drainage Magnetic Field Therapy Massage Massage Chinese Massage Clinical Massage Connective Tissue Massage Corporate Massage Deep Tissue Massage Indian Head Massage Infant/Baby Massage Hot Stone Massage Kahuna Massage Lomi Lomi Massage Mobile Services Massage pregnancy Massage Qi Gong (Chi Kung) Massage remedial Massage Seated (Chair) Massage Sports Massage Swedish Massage Thai Meditation Men's Health Metamorthises Music Therapy Myofascial Release Myotherapy Natural Fertility Naturopathy NLP Nutritional Therapies Osho Modalities Osteopathy Personal Training Pilates Podiatry Polarity Therapy Primal Therapy Pranic Healing Psychotherapy PSYCK-K Qi Gong/Chi-Kung Quantum Touch Quit Smoking Raynor Technique Rebirthing Reconnective Healing Reflexology Rekindled Ancient Wisdom Reiki Relaxation Therapy Remedial Therapies Rolfing Rosen Method Rotai Pain Relief Scenar Therapy SHIATSU Sleep Therapy Sound Therapy/Healing Spinal Touch Spiritual Healing Sports Injury Therapy Tai Chi Touch for Health TENS Machine Therapy Tibetan Pulsing Time Line Therapy Therapeutic Touch The Journey Theta Healing TFT Thought Field Therapy The Trager Approach Transpersonal Counselling/Therapy Transpersonal Art Therapy Trigger Point Therapy Watsu Weight Loss Whole-Hearted Healing Women's Health Wu Tao Yoga Yogalates Zen

Additional modality headings required for my listing (add $10 to total for each)

Name on Card *

Card Number Please do NOT add spaces between numbers*

Card Expiry *
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2007 2008 2009 2010 2011 2012 2013 2014 2015

Card Type *
Visa Master Card American Express

Amount *

AUTO-RENEW The Hassle Free Way to Save YOU Time at Renewals! DIRECT DEBIT REQUEST- Please retain my credit card details and automatically debit my credit card on June 30th each year to automatically renew my listing. Tick this box for YES