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 eight modules of study, mandatory tutorials and a practical assessment.

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: £65 for registration and Module 1 (Students have to acquire their own copy of Illustrated Elements of Crystal Healing]

Please sign at the bottom of this form to confirm the amount MCS can process by card.
Sterling Cheques made payable to ‘MCS’ please
or you can pay using our secure, online system "www.greenmanshop.co.uk" or send funds via PayPal to ‘info@mcscourses.co.uk’
Module 2 will be released only on completion of Module 1. If you decide to pay-as-you-go, each Foundation module 2-7 costs £40, Module 8 costs £55 (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: ICGT, PO Box 6, Exminster, Exeter, Devon, UK EX6 8YE, Tel: +44 (0) 1392 832005
© 2013 ICGT/MCS