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Thank you for registering for the Universe and Oneness Workshop.

We ask all participants to submit a consent form.
Please review the contents of the consent form below, sign and seal it, and submit it
by Thursday, March 17, 2022.

Please bring it to the salon or mail it to us.

*If sending by mail, please note that you will be responsible for the postage costs.

<Recipient>
152-0002
Healing Salon Miho Shanti, Libre 1F, 3-5-9 Meguro Honcho, Meguro-ku, Tokyo

To Takubo

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