Seminars Brought to you by

Sclerology Australia

Registration Form

First Name:    Surname:

Address:    Postcode:

Phone:-    Email:

Please Visit the Seminar Page to see availability of Seminar in your area before completing this form

Brisbane Blackbutt Port Macquarie Kin Kin Melbourne Sydney Sunshine Coast Perth NewCastle Rockhampton Townsville Lismore Canberra Cairns Darwin Alice Springs Ipswich Toowoomba  Please Select the Area you wish to Register for:

SEMINAR CONTENT

• Fees for 2 day Level 1 Seminar $395.00 AUD (Level 2 & 3 Presented throughout the year for those wishing full certification)

• Complete 6 day concentrate Sclerology course co presented by Dr Leonard Mehlmauer and Vicki  Monday to Sunday September  1-7^{th 2008 $1150 AUD}

Tea, Coffee and other refreshments Provided

SEMINAR CONTENT will consist of, a detailed introduction to Sclerology and/or two full days of fascinating slide projections, comprehensive colour manual provided and digital photography.  Certificate of completion endorsed by Dr Leonard Mehlmauer of the United States.

Complete Level 1 $395.00   Please Select the Content you wish to Register for:

 A deposit of $50.00 is required at the time of registering for a seminar, please tick below how                                                                you would like to pay for your deposit *all deposits will be non-refundable

Payment Options

Cheque                                           Money Order

*Please make a Cheque or Money order payable to: Sclerology Australia P/L

*Credit Card facilities will also be available on the day to finalise payment if you need this access

*Online Transfer: Vicki Murray - BSB - 114-879 ACC - 126952277

On Completing this form Please forward your Cheque/Money order to:

Sclerology Australia

14 Anning Road, Forest Glen QLD 4556