Planetary Bio-Harmonics

Designed for the
Attunement, Transformation &
the Evolution of Consciousness

Copyright © 2008 Nick Anthony Fiorenza, All Rights Reserved

Planetary Bio-harmonics
Personal Feedback Form

Introduction

This form is for the individuals using the Planetary Bio-harmonic audios wishing to provide feedback. If you have the "Professional Licensing & Support Package," please use the professional feedback form.

User Feedback
*Required Fields

					

						

							Your Name
							* First
							
							* Last
							
						

						

							
							* Email
							
						

					

					

						

							Please include the following opptional information, if you have it:

								
    
									
  • The date and time of your audio session.
									
  • Your Date, Time and Location of birth.
									
  • Additional therapies or technologies used with the audios.
								

									
						

						

							Your Comments

								

								
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Note: Confidentiality

Your Personal information such as name, address, or email will not be divulged. This excludes the right to publish your experience and any relevant astrological data (without divulging your name or other personal information) on this web site, in any promotional literature or scientific papers. Only your initials will be used. If there is any information you do not want published, but you still wish to provide feedback, just indicate that in your comments.

Planetary Bio-Harmonics
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Copyright © 2008 Nick Anthony Fiorenza, All Rights Reserved

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