Additional Elective Purchase

Additional Elective Purchase
Name*

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Email*
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I have completed the following core session (1-8) or course (Cert, Adv Cert, Diploma)

At ACMM we offer a range of electives and sometimes its a bit hard to choose, we have an Elective information page with videos from our wonderful coaches/authors of the electives where they go into a bit more detail on what the elective will cover. For more information on our electives please click HERE.

Some electives require prerequisite core sessions to be completed before they can be accessed. Below is a list of all our electives and the necessary prerequisites.

Elective	Prerequisite
Meditation and the Chakras	None
Journaling for Clarity	None
Meditation for Connecting with Nature	None
Yoga Nidra	Session 5
Spiritual Meditation	Session 5
Women's Circles	Session 5
Meditation for Pain, Grief and Dying	Session 5
Corporate Meditation and Mindfulness	Session 5
Meditation for Parents and Children	Session 6
Mindfulness Buddhist Psychollogy	Session 6
Supporting Anxiety and Trauma with Presence	Session 7
Deepening through Meditative Inquiry	Session 8
Meditation Workshops and Classes	Session 8

Electives have a 6 month maximum time frame when completed individually.

On this form you can purchase one or more electives. The more you purchase at one time, the cheaper they are. You do not have to begin all the electives now, you can complete them one at a time, your 6 month time frame (per elective) will commence once you have received the elective coursework. How many electives would you like to purchase?*
Elective 1 - The first/only elective I would like to purchase *
Elective 1- Begin now or later*
Elective 2 - The second elective I would like to purchase
Elective 2 - Begin now or later
Elective 3 - The third elective I would like to purchase
Elective 3 - Begin now or later
TOTAL 1-3 ELECTIVES
SPECIAL OFFER - How many electives would you like to purchase?*

1 electiveMore than 1 elective
Please select all the electives you would like to purchase

Meditation and the ChakrasJournaling for ClarityMeditation for Connecting with NatureYoga NidraSpiritual MeditationWomen's CirclesMeditation for Pain, Grief and DyingCorporate Meditation and MindfulnessMeditation for Parents and ChildrenMindfulness & Buddhist PsychologySupporting Anxiety and Trauma with PresenceDeepening through Meditative InquiryMeditation Workshops and Classes
TOTAL 4+ ELECTIVES
Please list which electives you would like to be sent to you immediately, note your 6 month elective course time will begin when the elective is sent to you - We will wait for you to contact us on when you want to commence the other electives.
PROMOCODE
Choose a payment method
PAYMENT PLAN

Please select the payment frequency and duration below and we will set up your payment plan for your elective/s. Note all payment plans incur an 8% interest charge.

All of our payment plans are set up through our payment provider that we have been utilizing since 2002 - EZIDEBIT.

We will use the details provided on this form to set up an Ezidebit account for you. Following that (on the next working day) you will receive an email from EZIDEBIT providing you with a secure link to register your credit card or bank account information. Please check your SPAM/PROMOTIONS folder for this email if you don't see it.

EziDebit Fees: Administration Fee (only on set up) up to $5.50 - Bank account transaction fee $1.19 - Visa/Mastercard service fee 2.07% (min $1.19) - AMEX service fee 4.40% (min $1.19) - Failed Payment fee $21.90. These fees are subject to change by EziDebit at any time.
Payment Frequency

MonthlyFortnightly
Payment Plan Duration (please note certificates will not be issued until payment plan is paid in full)

3 months6 months (available for 3+ electives)
When would you like your payment plan to commence?

DayMonthYear
Date
SUBTOTAL
SUBTOTAL PLUS MERCHANT FEES

Additional Elective Purchase Agreement
- I am over 18 years of age.
- I understand that some aspects of my Learning Journey may be shared by the trainer in professional supervision sessions with a training supervisor for professional development purposes only.
- I am assured that the information I provide on this form is kept by ACMM in accordance with the Health Privacy Act relevant to the country and state in which this training occurs.
- I understand that all materials supplied to me and processes contained within the course are copyright and remain the property of ACMM.
- I take full responsibility for any additional support I personally may require. I can do this by booking in with a practitioner of my own choosing either from ACMM or elsewhere and making use of the processes provided to me for my own home support.
- This course is designed for responsible and healthy adults and is for educational purposes only. It does not replace counselling, psychiatric or medical support. Participation is voluntary and proceeding to undertake this programme is an indication that you agree to take responsibility for your wellbeing.
- I understand that I have 6 months to complete each elective from the date received. If the elective is not completed within this time frame course extension fees may apply
- I understand and acknowledge that I am required to provide at least 48 hours notice to my coach if I will be unable to attend our scheduled coaching call
- I understand that if I miss a coaching call without providing the required notice there is a missed call fee of $35 for each missed call which must be paid before rescheduling the missed call.
- I understand that I must complete all the assignments and the coaching call to receive my Certificate.
I agree to and understand the additional elective purchase agreement
Our mission is to increase personal and global peace and wellbeing by training and supporting meditation teachers that work from the heart and bring a holistic approach to teaching meditation, mindfulness and wellbeing.
Thank you for your purchase, your material will be emailed to you shortly. Please ensure you check your SPAM/PROMOTIONS folder. If you have not recieved the course in 48 hours please email us at admin@meditationandmindfulness.com.au.
On this form you can purchase one or more electives. The more you purchase at one time, the cheaper they are. You do not have to begin all the electives now, you can complete them one at a time, your time frame will commence once you have received the elective coursework. How many electives would you like to purchase? (1, 2 or 3) *
Scholarship fund contribution amount (optional - if you are paying by payment plan this will be added to your first payment)
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