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Application for the Feng Shui Masters Training Program™

Please use the application form below.
If you have questions, you may phone (415) 753-6408, or email
Contact

Feng Shui Masters Training Program™ location:
 

East Coast (New York, NY)

West Coast (San Francisco, CA)

Name: *

Address:

Please include city, state, and zip/postal code.

Email: *

If you do not have email, please enter "None".

Phone day:
 
Phone eve:
 
Date of birth:
 
Time of birth:
 

Education:

Please list all academic institutions attended, years, and degree(s) received.

Current Occupation:
 
From:    To: 
Previous Occupation:
 
From:    To: 
Please list any other learning experiences you think are relevant:
 
Previous Feng Shui Experience:
 

(list all courses, length, instructor, where taken)

Please explain your reasons for wishing to enter the Feng Shui Masters Training Program:
 

Tuition:
Summer Camp Deposit  $300
Session One$1075
Session Two$1075
Session Three$1075
Session Four$1075
Total$4600
Financial Data:
 

How do you expect to pay tuition?

 

You have access to tuition for:

1 Session

1 Year

2 Years

3 Years

 

If your tuition is derived from sources other than your own sayings or employment, please complete the following.

Person(s) or agency paying tuition:

 

Relationship:

 

Address:

 

Phone:

In Case of Emergency, Notify:
 

Name:

 

Relationship:

 

Phone:

Application Fee:
 

There is a $15 non-refundable application fee required with the submission of your application. Use your credit card now, or make your check or money order payable and mail to the appropriate school director (below).

East Coast:
Rosalie Prinzivalli
BTB Feng Shui Masters Training Program
401 E. 74th St. #7A
New York, NY 10021
ph: (212) 472-1247

West Coast:
GEO Feng Shui
BTB Feng Shui Masters Training Program
2939 Ulloa St.
San Francisco, CA 94116
ph: (415) 753-6408

Payment Information:
 

Visa/Mastercard online: Please fill out the form below.

Other: Please call us, or print out the form
and mail it with your payment.

Card Number:
 
Expiration Date:
 
Card Verification Code:
 
Name on Card:
 

If different from above.

Billing Address of Card:
 

If different from above.

Remarks:

Verify: *

Please retype your email address. Thank you.

Is the above information correct, and if paying by
credit card, do you agree to pay the total amount
according to the card issuer agreement?

 

* Required fields.



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