The Canadian Academy of Homeopathy provide educational programs of high standards in homeopathy since 1986 and has a very solid reputation world wide.

CANADIAN ACADEMY OF HOMEOPATHY
APPLICATION & REGISTRATION FORM FOR LIVE COURSES

Complete this form and send it to C.A.H. with the button below.

COMPLETE YOUR INFORMATION
Required fields has an *.
Name*:
Address*:
City*:
State/Province*:
Country*:
Postal Code/Zip*:
Phone Day*:
Phone Evening*:
Email*:
OTHER INFORMATIONS
Contact person in case of emergency*:
This person's phone number*:
Professional degree(s)/specialities*:
With which teacher/program have you studied homeopathy*:
How many years have you been studying
and/or practicing homeopathy*:
How did you hear about these courses*:
Are you a non-professional and auditing the course*:
Are you planning on staying on campus residence*:
Do you need hotel information*:
Are you interested in CME credits*:
Will you be bringing a lap top with you*:

CHOOSE YOUR LIVE COURSES
ESSENTIALS OF ACUTE AND CHRONIC PRESCRIBING - May 29 - June 4, 2010
$750 if purchased before April 6, 2010
$825 if purchased late
Not Interested

ILLUSTRATED COMPARATIVE MATERIA MEDICA PURA - June 7-11, 2010
$595 if purchased before April 6, 2010
$675 if purchased late
Not Interested

STUDY OF THE REPERTORY - May 28, 2010

For students new to homeopathy, a pre-requisite 1 day course taught by Lisa Samet, N.D.
$100 if purchased before April 6, 2010
$125 if purchased late
Not Interested


COMPLETE ALL THIS INFORMATION
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NOTE:ALL PRICES ARE IN CANADIAN DOLLARS.
Prices are subject to change with 30 days notice.

PAYMENT
To complete your transaction by credit card, you must contact the Canadian Academy of Homeopathy. Please make checks payable to 'Canadian Academy of Homeopathy'.
Personal Check VISA MASTERCARD

AGREEMENT
REGISTRATION AGREEMENT
I hereby agree not to copy or distribute the DVD or written materials. I agree not to share viewing of the DVD with anyone who has not been given direct permission by the Canadian Academy of Homeopathy for the rights to the intellectual material in this course.

PROTECTION OF INTELLECTUAL PROPERTY
If accepted into the program, I agree to pay the full amount owed for all DVD COURSES ordered from the Canadian Academy of Homeopathy. If I wish to discontinue the program, I will inform the Academy in writing of my intention stating the date and reason for termination, and will be liable and responsible for the DVD ordered.

I AGREE AND ACCEPT ALL THE TERMS ABOVE*
I agree and accept all the terms above

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