The International Academy of Vibrational Therapies

Weinberger Holdings Pty Ltd Director: Dianne Weinberger ABN: 98071129961 Email: isis@onthenet.com.au

19 Donegal Crescent, Sorrento Queensland 4217 Phone/Fax: 07 55398769 www.crystal-healing.com

Melbourne 2011 Registration Form

30339QLD CERTIFICATE IV IN VIBRATIONAL THERAPIES & 30340QLD DIPLOMA OF METAPHYSICS

(Please print your name clearly as you would like it on your certificate)

Name: __________________________________________________________________________

Address: ________________________________________________________________________

___________________________________________________ Post Code: ___________________

Phone/Fax: ___________________________ E-mail: ________________________________

* Do you have any disabilities or health issues? All information is collected in accordance with the Privacy Policy.

Please specify: No _____Yes _____________________________________________________________

How did you hear about us?_________________________________________________

You may choose one or all of the following subjects.

Please indicate which you would like to register for:

UNITS	DATES November	COST
Beginners Crystal Therapy:	4th 5th	$395	 please tick
Intermediate Crystal Therapy:	6th 7th	$395	 please tick
Advanced Crystal Therapy & Basic counselling skills	8th 9th	$395	 please tick
Past life Regression Therapy	11th 12th	$590	 please tick
Colour Therapy:	13th	$590	 please tick
Reiki 1 - will be held in the evenings.	Time to be arranged	$295	 please tick
· Reiki II course - for students who have completed Reiki 1 Please note Reiki II is to be completed no sooner than 3 months after Reiki I	Date to be arranged	$495	 please tick

Venue: 33A Glenlyon Road, Time: 9:30 till 4:30

Brunswick, VIC, 3054

Credit Card details (American Express and Diners not accepted)

Credit Card number: _____________________________ Expiry:____ _________ Amount:____________

Refund Policy

Where the applicant has paid the fees for the course and wishes to cancel, a full refund of the fees will be made up to five (5) days prior to the commencement of the course. After this date, refunds will be made if requested less 10% to cover the cost of administration. Where the cancellation is made after the commencement of the course for reasons beyond the control of the participant, they will be offered the opportunity of completing the course at the next available course. If this is not possible, a pro-rata refund will be made. Where we cancel a course, and an alternative course does not suite the applicant, a full refund of the fees will be made.

Please wear comfortable clothes and bring a healthy lunch. Refreshments will be provided.

I look forward to seeing you.