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Professional Foot Reflexology Registration (PFR1)
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First Name *
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Last Name *
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Date of Birth *
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Address *
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City *
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Province / State *
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PC / Zip Code *
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Country *
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Telephone # *
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Email *
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Answering the following questions will help us get to know you, so we can best assist you to achieve your goals.
Why do you want to be a Reflexologist? *
Your answer
What sparked your interest in Reflexology? *
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Work experience (Briefly describe the past 3 years of work) *
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What experience do you have of Holistic Health? As a client or practitioner? *
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How did you hear about the Universal College of Reflexology? *
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PROFESSIONAL FOOT REFLEXOLOGY TUITION OPTIONS
Choose the Tuition Option that works for you. *
I understand payment is due in full prior to the class starting. I agree to pay the tuition fee immediately upon receipt of your invoice. *
How do you want to pay? *
Please send invoice to my PayPal account. Here is my PayPal email address. If you wish to pay by phone or email - write call me or email me below. *
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Please call me on this telephone number for payment card information: *
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Please email me at this email address for payment card information: *
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Funds are payable in US Dollars (Students living in Canada pay in Canadian dollars plus GST.)
Term is 6 months. Extensions available on request. Deposits non-refundable. Exam Fees payable at time of examinations. Refund Policy http://ireflexology.com/refundpolicy
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