Baliena Flower Therapies

Australian Bush Flower Essences College Course Teacher & Practitioner

Online Course Enrolment

Please complete all the below requested information in order to correctly enrol in your chosen course. We will contact you to finalise your course registration usually within 1-2 working days of your submission to confirm your enrolment has been completed correctly (Please note: for enrolment in Grafton Community College run courses, enrol online directly with them via this link).Download enrolment form

 

If you prefer, you can download this enrolment form and

mail it to us (please do not complete this form for enrolment with Grafton Community College):

Baliena Flower Therapies

PO Box 1150

Grafton NSW 2460

(please ensure you include payment with your enrolment, see available payment options below).

Alternatively, you can scan in the enrolment form and email it through to the email address on the form.

 

ENROLLING STUDENT'S DETAILS

Your name*

(please include your first name & surname as you want it to appear on your certificate of completion†)

 		 
Street address*
Suburb/Town*  
State*  
Postcode*  
Is your postal address the same as your above street address?
  

Postal address

(if different from street address - otherwise please leave blank)

 

 		 

Contact phone number (day)*

(please include area code)

 

 		 

Contact phone number (evening)*

(please include area code)

 

 		 

Mobile phone number

(please include this option for contact during course)

 

 		 
Email address*
  
Preferred method of contact*
  

COURSE ENROLMENT & PAYMENT DETAILS

Course I would like to enrol in*
(choose from available list of courses - if course does not appear here, please contact us)

Course costs*

(pricing is dependent on the date of enrolment, if you are booking prior to the 'Early-Bird' cut-off date, please choose this special pricing, otherwise, please choose the standard pricing)

* Please contact Grafton Community College directly for pricing on courses being run through them.

 

 

Payment method*

Please select from the list below of payment options:

* For enrolment with Grafton Community College, please pay enrolment fees directly to the college.

 

(i) If paying by cheque, we will need to receive and clear funds prior to course enrolment confirmation;

(ii) If paying by direct deposit or EFT**, please use your surname as transaction description.

 Sorry, we are unable to accept credit card payment at this time.

 

** If making payment via EFT (Online Banking) or Direct Deposit (Bank), the details you will need are:

Bank: Commonwealth Bank (CBA), Coffs Harbour NSW

Account Name: Baliena Flower Therapies

BSB: 062 521

Account No: 1042 3275

 

Please ensure you include your surname as 'Transaction Description' to ensure your payment and enrolment are correctly processed.

 

Please make all cheques and money orders payable to 'Baliena Flower Therapies'.  

 
SPECIAL REQUIREMENTS & TERMS/CONDITIONS OF ENROLMENT
 
Do you have any special requirements that we should know about?*  

If you selected 'yes' above, please list your special request requirements here and we will contact you to assist with this.
  


PLEASE CLICK HERE TO VIEW OUR ENROLMENT
TERMS & CONDITIONS BEFORE PROCEEDING
I acknowledge that I have read and accept the 'Course Enrolment Terms & Conditions'*  

** Your enrolment will not be valid without selecting 'yes' above to having read and accepted the course terms and conditions.**

Finally, how did you hear about Baliena Flower Therapies and the Australian Bush Flower Essences College Course?

** If you selected 'Recommended by previous student' in the above box, we'd really appreciate if you could let us know who by, so we can send them a thank you gift.

If you selected 'Other', we'd appreciate if you could tell us where so we can thank them also.

 

YOUR ENROLMENT WILL ONLY HAVE BEEN SENT THROUGH CORRECTLY

IF YOU RECEIVE A 'CONFIRMATION OF ENROLMENT' SCREEN.

(if you do not see this screen, please try re-submitting, download this form and post or scan/email to us or contact us ).