YINS COLLEGES WORLDWIDE

Official Application to join:

YINS COLLEGES WORLDWIDE (YCW)
and the
INTERNATIONAL NATURAL THERAPISTS ORGANISATION (INTO)
as a Life Member

FOR YOUR SECURITY PLEASE SEND PAYMENTS,
WITH A PRINT OUT OF THIS COMPLETED FORM VIA REGULAR/AIR MAIL.
To : YCW Dean of Studies, c/- 251A Victoria Street, Bugis Village, Singapore 188035 088482

To Help Others Help Yourself
You Never Fail Until You Stop Trying

My name is as follows:

Full Name

Title : Mr / Mrs / Ms / Dr

My address and phone contact number is as follows:

Address

Suburb

Postcode

Phone Numbers

My Date of Birth is:

My Place of Birth is :

(1) I hereby consent to join the YCW/INTO Group as a Life Member at whatever level the Committee decides. I hereby enclose my payment of US $ 150.00
(2) I realize that - I will, for my payment, receive two membership certificates by mail within 30 days; then

(3) I understand that I may apply to obtain information about the seminars, tutorials and conferences sometimes offered by the group.

(4) I now sign this statement realizing all the above stipulated facts and that I may now enrol in courses of my choice with YINS Colleges Worldwide at any time.

(5) I am also cognisant of the fact that this group does not offer any cash refund whatsoever for whatever course or membership I may enrol or Join ( Waiver)

Signed:
Print Name: Date:

Witnessed: Print Name: Date:

Do not write below this line - Office Use Only

Date Joined:	Fee : $ 150.00
Registered Number:	Issued by:
Referred by Yins Colleges Worldwide Website	Principal / Secretary

All prices are in US Dollars