Vibrant Health

Power of Plant Oils Registration
See Course Description

Please complete the form below for the class beginning 03/16/17.

Name

Address

City

State Zip

Phone

Mobile Phone

Website

Professional Degree
(if applicable)

Previous Aromatherapy Education

Outcome Desired
(certification,
knowledge, fun, other?)

Fees

Deposit: $100 - Reserve your spot ASAP

Payment (due by first class):
$650 (includes $50 materials fee) Due 3/16/2017
($550 after deposit is paid)

Nurse's Special: (due by first of class): $590 (10% discount includes $50 materials fee) Due 3/16/2017 ($490 after deposit is paid)

Payment Choice

I would like to pay online.
I would like to register online and send a check in the mail.
I would like to print the registration form and will enclose
a check with it in the mail.

To Mail check
and/or registration
form

Dr. Lisa Moore
Vibrant Health!
9700 Fair Oaks Blvd. Suite F
Fair Oaks, CA 95628