Name* Date of Birth Phone* Street Address/P.O. Box City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Email* How will you provide payment today? NEW STUDENTS I want to pay Full Tuition ($2,250)I want to use the Monthly Payment Plan (9 Installments of $250)I want to use financial aid Please stop here and complete the financial assistance form PAST GRADUATES I want to pay Full Tuition ($900 with code)I want to use the Monthly Payment Plan (9 Installments of $100 with code) Use the code graduate when you are completing payment for the course Use the code graduate2 when you are completing payment for the course Please Tell Us a Little About Yourself How did you hear about this program? Have you studied herbalism before? If so, with whom? Where? Have you studied botany before? Do you currently use herbs for your own health care? Tell us about this. How do you hope to use the information you will receive in this program? Do you have any training in other healing modalities (medical license, massage therapist, acupuncturist, etc.)? Is there anything else you would like us to know about you before you submit your registration? * You will be taken to BotanoLogos' online course, hosted through Thinkific. You will need to create an account and pay for the course there. The coupon codes will apply for Past Graduates on Thinkific's platform. If you have applied for financial assistance, we will be in touch with you about next steps.