Professional tuition enrolment form

Become as good as a professional astrologer

34 online sessions enrolment form. Please complete and send.
Student's identity*

Missis/Miss/MisterFirst NameFamily Name
Email address*
Adresse Gmail obligatoire. Merci
Mobile/cell phone number*

Country codeNumber
Postal address*

Address line 1

Address line 2

StateZip/postal code and City

Country
Date of birth*

DayMonthYear
Time of birth (AM or PM)
hours : minutes
Place of birth (complete with state and country)*
City + State + Country
Upload a recent photograph of yourself

Will be added to your diploma to make it more personal
Cancelof
I wish to study with*

Lucas CostatoRoland Legrand
Payment options:*

Cash with 10% discount (4,770€ instead of 5,300€)In three instalments (1,800€ X 2 + 1,700€)
I pay using*

PayPalBank transferCredit/Debit Card
Note: this enrolment form is a contract between you and the school. If you end it prematurely for any personal reason other than major unforeseen circumstances, no refund of the price paid will be possible. Thank you for understanding.
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Become as good as a professional astrologer