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Application Form For Distance N101 Foot Reflexology Course

 

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Please enter all of required information:

Note: The course must be paid for in full before the course will be shipped to you. Payment is by certified check, money order or credit card only. No personal checks will be accepted This form will accept credit card  payments only and it will be made in Canadian funds. Your credit card company will automatically convert it to your currency if applicable. If you wish to pay by certified check or money order, print the form located here and return with payment enclosed.
If you are unable to use any of the above forms, you may send an email to:


Select Course Required:
 
checkmark Country Course & Shipping Method *Course Cost
Canada N101 course c/w textbook - shipped by ExpressPost mail $800.00 Cdn
Canada N101 course c/w textbook - shipped by Expedited mail $790.00 Cdn
USA N101 course c/w textbook - shipped by AirMail or ExpressPost $805.00 Cdn
USA N101 course c/w textbook - shipped by Surface  or Expedited $795.00 Cdn
International N101 course c/w textbook - shipped by AirMail $830.00 Cdn

 *Exam/Assessment Fees:  
The examination and assessment fees are already included in the price of the course fee along with the textbook:

Enter Your Name: * = Required
Enter Your Address: * = Required
Enter Your City/Town: * = Required
Enter Your Province/State: * = Required
Enter Your Postal/Zip Code: * = Required
Enter Your Country * = Required
Enter Your Telephone #: * = Required
Enter Your Fax #:
Enter Your Email Address: * = Required

  Comments:

Type of payment:
Note: the amount charged to your credit card will be in $Cdn. and will be automatically adjusted depending upon the options you have selected above:

 

Semi-Secure Form

This form is for those who wish to pay by credit card but cannot use the secure form, or if there is a problem with the automatic processing of the secure form.

To send your credit card information electronically, fill in the required information, including the first half of your credit card number in the first box and the second half in the second box. This will split up your credit card information from possible prying eyes. We will not assume any responsibility for this method.

   

Select the credit card : 

* = Required

Enter the first half of your credit card # : 

* = Required

Enter the second half of your credit card # : 

* = Required

Enter Date of Expiry (MMYY): 

* = Required


 

    


Note: By registering for this Distance course, you have read and accepted the terms of the Refund Policy. The applicant hereby acknowledges and accepts full responsibility for payment of the course and any additional costs including collection agency costs should the payment not be accepted by the financial institution for any reason.


If sending by postal mail or fax:
 

Ontario College of Reflexology
P.O. Box 220
New Liskeard, Ontario
P0J 1P0     CANADA

Fax:  705-648-6247


 

Copyright © 1996-2008 - Ontario College of Reflexology and Donald A. Bisson
All Rights Reserved. Reproduction in whole or in part in any form or medium without express written permission of O.C.R. is prohibited.