Ruang Resonance Event Registration Form

Ruang Resonance Event Registration Form

HEAL YOUR SPACE, HEAL YOUR BODY RM30 per pax — Early Bird Price until 7 June 2026: RM20 only. Brought to you by Quantum Wellness Bioresonance
Date: 27 June 2026

Time: 2:00PM to 5:00PM

Venue: Level 5, Block D, Metropolitan Square, Jalan PJU 8/1, Bandar Damansara Perdana, 47820 Petaling Jaya, Selangor

Available seats: 30 pax only

• Understanding Geopathic Stress & E-Smog
• How Your Living Space Affects Your Wellbeing
• Building Biology & Holistic Wellness Awareness
• Practical Lifestyle & Space Wellness Tips
• Live Demonstration & Interactive Activities
Your Name
Email Address
example@example.com
Phone Number

Country CodeArea CodePhone Number
Reason of visit
The event will be filmed for marketing purposes. If you are not comfortable being recorded, please kindly inform us during the event.
Will you be interested in an overnight therapy in the retreat villa?
Are you bringing a friend?
Friend Details
Friend Name
Friend Email
example@example.com
Friend Phone Number

Country CodeArea CodePhone Number
Friend Reason of visit
Bank Details for Payment
Bank Details: QUANTUM WELLNESS BIORESONANCE (M) SDN. BHD.
Bank Name: OCBC
Bank Number: 7861347487
QR Code for Payment
Upload Payment Receipt

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Friend Details