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YOUR BLOOD DETECTIVE REGISTRATION FORM

For Credit Card/PayPal, Use the Form Below.
Click on the “PDF Button” further below for Cash, Check, or Money Order.
After this form, you will find the Venmo and Zelle Form.

For Credit Card/PayPal, use this Form

https://form.jotform.com/212408360723045form/212408360723045

For Venmo and Zelle, use this Form

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For All Other Payments (Cash, Check, Money Order, Download this PDF Form

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29 King Street Chappaqua NY 10514

914-552-1442

info@bloodetective.com

www.DrMichaelWald.com

*DISCLAIMER: Dr. Michael Wald is a doctor of chiropractic with a Masters Degree in nutrition. He is also a Certified Dietitian Nutritionist and Sports Nutritionist. Dr. Wald is certified to provide acupuncture in several states, but not in New York. Dr. Wald has a Board Certifications in Nutrition. Dr. Michael Wald earned his MD diploma, but did not complete a residency and is thus not licensed to practice medicine. The information on this site is intended for educational purposes only and is not to substitute for sound medical or health advice. Information contained within this website may change at any time without prior notice. The information on this website is under copyright, 2024.

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Registration Form

YOUR BLOOD DETECTIVE REGISTRATION FORM

For Credit Card/PayPal, Use the Form Below.

Click on the “PDF Button” further below for Cash, Check, or Money Order.

After this form, you will find the Venmo and Zelle Form.

For Credit Card/PayPal, use this Form

For Venmo and Zelle, use this Form

For All Other Payments (Cash, Check, Money Order, Download this PDF Form

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