Ayurveda

Give the gift of healing to yourself or a loved one!

 

One‐to‐One Skype or Phone Ayurvedic Session

 

This is an opportunity to book a one-hour appointment with our Ayurvedic Practitioner for

Skype or Phone Consultation $175.00
Costs are subject to 5% GST

Once you purchase the session, we will send you our detailed mind-body dosha questionnaire to complete and submit. Arrangements will be made for our practitioner to connect with you.

Last Name:
First Name:
Address
Suite/Apt no.
City
State/Province
Zip Code
 
Home Tel:
 
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Mobile:
 
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Email (where brief summary of session can be sent to)
Date of Birth
 
Sex

Payment Information

* All Fields Are Mandatory to Complete the Application Form
Billing Address
Is your billing address same as your current address?
Yes, same as my address filled in above
No, different Address
If No, please provide your billing address
Payment Method
  • The three digit security number imprinted on the signature panel on the back of your Visa or MasterCard credit card.

    This three-digit security number is a tool used to help prevent fraudulent use of credit cards. It helps to validate that the customer has a genuine card in his / her possession for Internet or mail order transaction.