Please copy the application form in email and contact us for more info.
Tel. +1 604-518-6455
Oriental Medicine Academy Course
1. PERSONAL INFORMATION
Legal Name: ________Last (Family) __________First Middle
Application / Registration Number: __________________ (office use only)
Date of Birth _______ / ________ / ________Month/ Day/ Year
2. CONTACT INFORMATION
Details Home Address (For Office Record Only)
Tel.( )_________ Fax. ( )________ Email_________________________
3. COURSE INFORMATION
The course is scheduled as
From ___day/____month/_____year till ___day/____month/_____year
Note: Please set up the schedule before application.
Please check details as posted on the website: http://www.orientalmedicine.ca
Price: CAD $______ (incl. tax)
Applicant (print name):
Terms and Conditions
1. Workshop is only available to applicants who are able to devote full-time attendance during the course as scheduled;
2. Only cash, certified cheque or e-transfer (for Canadian) is acceptable and should be issued at the starting of course;
3. Duplication content of course notes to others in any manner is strictly prohibited;
4. No refund or exchange after the course material is sent out.
Please send the application back no later than 1 week before the scheduled course.