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Acupuncture
Ear Candling
Esthetics Program
Off site teaching
   

The Canadian Institute of Alternative Medicine
Student Registration Form
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Acupuncture Registration Step 2
Class sizes are kept small, so please pre-register to avoid disappointment.
Visa, MC, Debit, AmEx, cheques and cash accepted.
 A refund is offered by instructor only if class has to cancel due to minimum enrolment.
Register here, and send us your payment information
by phone, fax or email.
For more information call 433-3434 Thank you.

I would like to reserve a space in the following Acupuncture course:
*required fields

Name of Course: *
Date: *
   
Your Name: *
City: *
Province/State: *
 
Home Phone: *
Work Phone: *
Best Time to Call:
Email: *
Fax:
 
I send my credit card information by*
Phone
Fax
Email
I already have sent cash or a cheque by snail mail
Do you have any other questions?
 

 

 

 

 

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