Seminar Application

《The application process》
On receiving your application, we will send information regarding payment. Your registration for the seminar will not be completed until the transaction has been settled.
Usually we will contact you within 3 business days after your application. However, should you not hear back from us within this time period, please contact us immediately.

《Registering domains》
All of our emails will be sent from @homeopathy-jsoh.org. If you are using Anti-Spam filters, please make sure that your email address is able to receive emails from this domain.

《Managing your personal information》
The collected information will be kept and protected under strict management, and will only be used in order to deliver response to your inquiries. We will not provide your information to third parties without a justified reason, unless you give your prior consent.


Name
Address line 1
Address line 2
Address City
Prefecture
Country
Post code
Landline - -
Mobile - -
FAX - -
Email address
Email address
(Reenter for confirmation)
Gender Male Female
Membership classification Regular member Associate member
General member Supporting member
Non-member
Your choice of event


Messages / questions


Confirmation Check if you would like to receive a confirmation email.

Red fields indicate required information.