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Form for
Your personal, confidential,
professionel Counselling Session via E-Mail |
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The method of payment will
be clarified with You in a personal E-Mail exchange!
Strict confidentiality
is garanteed for the whole counseling and treatment process! |
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If You don´t want to send the form:
Copyright © 1997 Andreas v.Wallenberg Pachaly. All rights
with the author!
Revised: July 22nd, 1999. |