 |
Registration
for N101 Distance Education Course
|
Select Course
Required:
|
|
Country |
Course and
Shipping Method: |
Course
Cost |
Total
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 mail |
$795.00
Cdn |
|
|
International
|
N101 course c/w
textbook - shipped by AirMail |
$830.00
Cdn |
|
Notes:
Prices subject to change without notice.
Course cost includes
textbook and shipping cost if applicable and Exam/Assessment fees. |
|
First Name: _________________________ Initial:______ Last
Name:_____________________________ |
Address:
_____________________________________________________Apt/Suite
#:_______________ |
City: ______________________________ Prov/State:
_______________ PC/Zip.: __________________ |
Country: _____________________ Email:
_________________________________________________ |
Res.Tel #: _____________________ Bus.Tel #:
____________________ Fax #: ___________________ |
|
Note:
Selected 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. Credit card payments will be made in Canadian funds. Your credit
card company will automatically convert to your currency.
|
| The
undersigned hereby acknowledges and accepts full responsibility for
payment of the course and any additional costs including collection agency
costs should my payment not be accepted by my financial institution for
any reason. I have read and accept the terms of the
Refund
and Examination Policies.
Signature:
_____________________________________________ |
| Send
this Form to:
Ontario
College of Reflexology
P.O.
Box 220
New
Liskeard, ON
P0J
1P0 Canada
|
Payment
Options:
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|
Certified
Check/
Money
Order:
|
|
|
Amount:
|
$ ____________________________________________ |
|
Credit Card #:
|
______________________________________________ |
|
Exp. Date:
|
______________________________________________ |
|
Signature:
|
______________________________________________ |
|
Name on Card:
|
______________________________________________ |
|