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APPLICATION FORM

THE HYGEIA COLLEGE OF COLOUR THERAPY

NORTHERN CENTRE

   4, Sunningdale Close, KIRKHAM, Lancs, PR4 2TG

                  Tel. 01772 671128. Email: jeantone.greenslade@tesco.

Further information about yourself, including the purpose to which you intend to use the training you receive

Any special assistance you need from us

TO:  James Associates, 4, Sunningdale Close, Kirkham, PR4 2TG

I wish to attend the Preliminary / * Foundation Course No…………………...

Forenames

Surname

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Qualifications

Please send details of the course to:

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Deposit

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I heard about the course from

PLEASE MAKE CHEQUES PAYABLE to: J GREENSLADE

JAMES ASSOCIATES run THE NORTHERN CENTRE under Licence from

The Hygeia Studios (reg'd Charity 260297).  James Associates Partners are: -

J A (Tony) GREENSLADE,  Dip EE, C Eng,  H DipCTh, PM IAC.

Jean H GREENSLADE, H DipCTh, FHCCTh.

PRIVATE and CONFIDENTIAL

I enclose a deposit of  £

and accept that this is non-refundable except in the event of the course being cancelled or the application not being accepted.  I also accept that  James Associates are not responsible if a

candidate is not accepted on the Advanced Course, for whatever reason