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Would you like to be a guest on the Complementary Health Series. I will need to know a few bits of information from you. 1. What is your topic? 2. How does your topic help people? 3. What interesting stories do you have on your topic? 4. What new idea do you have? 5. What Complementary Health idea do you have? 6. What do you teach in Complementary Health? 7. Any item of general interest |
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Please mail information to: Lester J. Robinson PO BOX 346 Lockport, NY 14094
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Please Print all information out Name:_________________________________________ Address_______________________________________ City_____________________________ State___________________Zip__________ Phone Number__________________________________ E-mail address_____________________________________ Web Site Address______________________________________ Give Name of topic______________________________________ What is your Education on this topic______________________ __________________________________________________ __________________________________________________ ________ Give a brief overview of topic __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ ________________________________________________ Anything Else to Add __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ ____________________
When can you be interview on this topic __________________________________
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