Professional Foot Reflexology Registration (PFR1)
Class Date: November 2nd 2017
Today's Date
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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.
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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Three course options available. Deposit of $250 due and payable on registration to hold your place. Balance due seven (7) days prior to class start date.
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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