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Enrollment Form for all ICH Programs Date_______________ |
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PROGRAM ONE: COMPREHENSIVE HERBALIST TRAINING PROGRAM
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PROGRAM TWO: ADVANCED HERBALIST TRAINING
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| ___PROGRAM THREE: CLINICAL TRAINING PROGRAM ... $695 |
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Course Subtotal (from above) $________ Payment by: __Check __Money Order __Visa __Mastercard Credit Card #_____________________________________ Signature________________________________________ |