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Online Apitherapy Course Application
Application form for the online Apitherapy Course with
Dr Ștefan Stângaciu
.
Please note that
in our Course are accepted only
registered health practitioners
and/or
beekeepers
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* Indicates required question
Email
*
Your email
First and Family name
*
Your answer
Gender
*
Male
Female
Age
*
Your answer
Complete address (street name and number, city/village, county/state/province, country, postal code)
*
Your answer
Country (e.g. USA, Canada, Australia, India, Pakistan, Malaysia...)
*
Your answer
Phone (fix and/or mobile)
*
Your answer
Whatsapp number
Your answer
Website
Your answer
Facebook, LinkedIn or Twitter page
Your answer
Profession / Occupation
*
Your answer
Hobbies
Your answer
Are you a beekeeper?
*
Yes
No
How many bee colonies do you have now?
Your answer
Are you a member of your national/regional Beekeeping Association?
*
Yes
No
Are you a member of your national/regional Apitherapy Association?
*
Yes
No
How did you find out about our Course? Who told you to contact us?
*
Your answer
What languages do you understand/speak/write best?
*
English
Spanish
French
German
Portuguese
Arabic
Russian
Chinese
Other:
Required
After you will graduate from our online Course would you like to continue your study with a practical, hands-on workshop, in order to:
*
Help your family members to have a better, healthier and longer life
Create a Beekeeping & Apitherapy Shop (including with online sales)
Create an Apitherapy Information Office / Center / Clinic
Become an Apitherapist
Help to create a local/regional Apitherapy Network using Internet tools like Facebook, Whatsapp and Instagram
Required
Please send us, to DrStangaciu@gmail.com 1-2 photos of you, ideally in passport format. If you are a beekeeper, add your best photo with you in your apiary. If you are a health practitioner, kindly send us 1-2 copies of your professional certificates
*
Yes, I agree to send you these photos
No, I do not want to send you any of my photos
Required
If you will be accepted to join our long distance Course, what would be the best payment options for you?
*
PayPal
Wire (direct interbank) transfer
We can receive payments only through PayPal and classical, interbanking wire transfer. Please chose one of the following options of money transfer of your course fees (400 Euro + 22 Euro as money transfer fees)
*
One installment: 422 Euro
Two installments, each of 240 Euro
Please contact your future course instructor, Dr. Stefan Stângaciu (Romania), via WhatsApp, SMS, or phone at +40-744-409-126 to address any questions you may have before enrolling and starting the course.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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