Long Distance Apitherapy Internet Course
Application form for the online Apitherapy Course with Dr Ștefan Stângaciu
Email address *
*
Name *
Your answer
Gender *
Age
Your answer
Your photo, in Jpeg, passport format
Please send us, separately to this form, your best, most recent photo to: drstangaciu@gmail.com
E-mail *
Your answer
Address *
Your answer
Phone/Whatsapp number
Your answer
Profession / occupation
Your answer
Do you keep/work with bees? *
Are you a member in your national/regional Apitherapy Association/Society? *
How did you find out about our Course ? Who told you to contact us? *
Your answer
What languages do you speak/understand best? *
Your answer
After you will graduate from our Course would you like to continue your study, in order to: *
Required
Payment options: *
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