Course Registration To register, fill out the following form and submit it online. Be sure to print a copy of this page, sign it and mail or fax it to us at the address listed at the bottom of the page. Please note: The materials issued are non-refundable due to their copyright laws and researched information. Name: Address: City: Prov/State: Postal/ZIP: Country: E-mail: Phone: Fax:   Please select the course you wish to register for below: Aromatherapy Introductory Course Aromatherapy Certification Correspondence Home Study Program The Aromatherapy Certification Aromacology Course Advanced Clinical Aromatherapy (must be paid in full - no deposits) Acupuncture Diploma Course Cosmetic Making Course Holistic Baby Care Hot Stone Healing Therapy Iridology, Herbology and Nutrition Natural Beauty Spa Course Reflexology Holistic Foot Spa Course Please specify desired starting dates and any additional notes you may wish to add Paid in Full Paid by Deposit Amount Paid Payment method: Visa Mastercard Cheque Cash Name on credit card:   Credit card number:     Expiry:   IMPORTANT!! Before submitting the form, print a copy of this page, BE SURE TO SIGN IT and mail or fax it to: Mississauga School of Aromatherapy 2155 Leanne Blvd., Unit 248, Sheridan Corporate Centre Mississauga, Ontario L5K 2K8 Fax (905) 822-0856   Signed:   ______________________________________   Date:   ______________________________________ If you have any questions, please call: 1-800-326-9491 or (905) 822-5094 (Toronto area)

•Mississauga School of Aromatherapy & Natural Therapy•
•Canadian Holistic Therapist Training School•
Toronto Area: (905) 822-5094 • Fax: (905) 822-0856 • E-mail info@aroma.net

•Toll Free:1-800-326-9491•

Unit 248, Sheridan Corporate Centre
2155 Leanne Blvd. Mississauga, ON L5K 2K8, Canada

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