Application form for 10 lesson course with Carol Squires, Astrologer

Classes
Workshops
Personal consultations
Chart & report services
Articles
Chart calculations manual
NZ time changes
Star forecast
Astrology Foundation Inc
About Carol
Contact Carol

Please complete the following details, and either email or post this form together with your payment to Carol.

Select course Please enrol me in the Astrology by Correspondence 10-lesson:
Beginner's course in Astrology
Intermediate course in Astrology.
Advanced course in Astrology

Personal Details Name:
Address:
City:         Postcode:
Country:
Phone:
Email:

Birth data Time:       am / pm
Date:
Town:
Country:

Payment I would like my lessons emailed to me, and
I enclose my cheque for the full fee of *NZ$320.00.
I prefer to pay in two instalments and enclose my first instalment of *NZ$170.00. My second instalment of NZ$160 will be paid on or before completion of lesson 4.
I have paid *NZ$320.00 by internet banking.
I have paid *NZ$170.00 by internet banking.
Please see bank details at end of form.

* Please make payable in New Zealand dollars to Carol Squires. Take a look at the currency converter for equivalent local prices.

Postage I prefer to receive my lessons by post and add:
NZ$40 for postage within New Zealand.
NZ$45 for Australian airmail postage.
NZ$55 for airmail postage outside New Zealand and Australia.

Terms and conditions Payments for the correspondence course are valid for one year from date of application. No refunds once course has started.

I accept the terms and conditions

Date:

To post please email Carol for her postal details. Thank you.

To pay via internet banking please pay into the following account:
ANZ 01-0178-0147771-00.

my PayPal account is caros@astrologyschool.com

and phone or email your details to Carol.

Thank you for your order.