CVM

The College of Vibrational Medicine

Printable Diploma Course Enrollment Form

I wish to enrol for the CVM Diploma course starting October 2008
to be held in Halesworth, Suffolk.

I enclose my deposit of £50*. I am over 18 years of age.

SURNAME
FORENAMES
DATE OF BIRTH
ADDRESS

POSTCODE
TELEPHONE
EMAIL
SIGNED
DATE

Anatomy and Physiology Exemption.
If you already have an ITEC or equivalent qualification in Anatomy and Physiology please state your qualification below and enclose a copy of your certificate with this form.

I have a qualification in A&P as follows ……………………………………….
I enclose a copy of my certificate.

Please make cheques payable to ‘Holistic Training’
and post to:-

The College Of Vibrational Medicine
1 Rectory Road, Tivetshall St. Mary, Norfolk. NR15 2AL. U.K.

Tel/ Fax:- 0845 478 6373


* Deposit is non-refundable unless the course is cancelled.

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