Registration for the Healthy X Change Health Fair        (See Brochure)


First
Last

Email

Phone

Company

Position


Number of Employees at your location
I am interested in attending:
Health Evaluation* Homeopathy Holistic Healthcare (Keynote Speaker)
Canoe Trip Massage Therapy Self-Empowerment
Bike Ride Physical Therapy Holistic Self-Care
Yoga Bio-feedback Evaluations Science of Mannatech
Fitness Walking Healing Touch Insurance After Age 65
Lunch with Speaker ($5.00) Hypnotherapy Cranial Sacral Therapy
Dinner with Wine ($10.00) Reflexology Prostate Care

I am interested in hearing more about the Healthy X Change solution to increase health and wellness and reduce healthcare costs for my small business. (choose one)

Call me Send me more information

Payments for Lunch and/ or Dinner with Wine (choose one)

Check or money order Pay by paypal

*Health Evaluations are available to first 20 registrants only.

Enjoy the Health Fair!

Healthy X Change
307 S. Farwell St. Suite 206
Eau Claire , WI . 54701

Electronic Payments accepted at
www.paypal.com   Send to hxc@healthyxchange.com