Joyessence Aromatherapy-Aromatherapy Correspondence Courses

Please enroll me in the following :
		Price		Total
Module 1 - Materia Aromatica, Essential Oil Profiles		$425.00		$425.00
Module 2 - Anatomy/Physiology/Pathology		$275.00		$275.00
Module 1 & 2		$625.00		$625.00

Enclosed is payment by cheque or money order for courses listed above.

If you are taking Module 1 & 2, do you want to do them together?			Yes	No

Do you plan to take the bodywork portion of the course?			Yes	No

Name	____________________	Birthdate	____________________

Mailing Address	____________________________________________________________

Telephone	____________________	Email	____________________

Education	____________________________________________________________

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Present Occupation	____________________________________________________________

Marital Status	____________________________________________________________

Do you have any children?____________________		Their ages:	____________________

Do you have any previous training in aromatherapy?____________			____________________

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Please tell me about your interest in aromatherapy and what you expect from the course. (Use back of form) Return to: JOYESSENCE AROMATHERAPY CENTRE 88 Dean Avenue, Guelph, ON, Canada N1G 1L6