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Equine Photonic Red Light Therapy Registration Form (Capel)

Course Name: Equine Photonic Red Light Therapy

Five Day Practical Course

Monday 5th – Friday 9th October 2015 | 8am – 5pm

123 Peppermint Grove Terrace | Peppermint Grove Beach | Capel, WA

 

Total Tuition Fee: $1295       Deposit $495.00   Balance $800.00

 

Payment Options:

1. PayPal:

Reference Email address: products@jent.net.au
If you do not have a PayPal account please email education@jent.net.au and we will email you a PayPal Invoice. A safe and easy payment option

 

2. Bank Transfer:

Bank Name: ANZ Bank

Bank Address: 3 Dickson Place, Dickson, ACT. Australia

Account name: JENT Institute
ANZ Bank BSB: 013400
Account Number: 392847736

 

PLEASE FILL OUT THE FORM BELOW TO REGISTER YOUR DETAILS.

 

Your Details

Your Name

Postal Address

Personal Email

Mobile Phone

Occupation

If you own a Red Light, what type?

Course Details

Country

Course Location (Town)

Course Commencement Date

Total Tuition Fee

Please fill out all fields.

 

Registration will be processed once payment is received and you will receive confirmation via email.