Mandala Complementary Studies

Healing with Colour Part-Tutored - Correspondence Course - Application

Registration Form

NAME:_______________________________________________________________
ADDRESS:____________________________________________________________
_____________________________________________________________________
Country: _______________
Zip/Post Code: __________________ TEL.NO: (inc code) _______________________
Email: _____________________________

If you wish to attach a Curriculum Vitae, then please do so.

This course takes you to Certificate level at the end of five modules of study.
Students can then opt for a further 3 modules to gain the Diploma.
Tutor days are arranged throughout the year.

Payment:(Exchange rates will vary)
Payment by Visa/MasterCard/Maestro
Name on card: ………………………………………
Card Number: ... ……./ .……./ ………/ ..…….
Expiry date: ……./ …….
Last 3 digits on signing strip: ……..
Issue Number (Maestro) ……


I wish to pay: *£75 for registration and Module A
or *£515 for registration and Modules A-L
(or equivalent for Non-UK)
or *£635 for registration and Modules A-M (or equivalent for Non-UK)
* Please delete as appropriate and sign at the bottom of this form to confirm the amount we can process by card.
The tutored module for the course, covers the practical skills in Modules E and F and costs £60 for the day
* Please delete as appropriate and sign at the bottom of this form to confirm the amount MCS can process by card.
Sterling Cheques made payable to ‘MCS’ please
or send funds via PayPal to ‘mcs@greenmantrees.demon.co.uk’ and email MCS your address and other details for this form.

Module B will be released only on completion of Module A. If you decide to pay-as-you-go, each module costs £40, paart from Module M (A&P) which costs £120 (or Non-UK equivalent)

I confirm that I have read and understood the Booking Terms and Conditions explained in the accompanying sheet and agree to them.
Signature___________________________________ Name (please print)
Date:
Please return to: MCS, PO Box 6, Exminster, Exeter, Devon, UK EX6 8YE, Tel: +44 (0) 1392 832005
© 2011 MCS