Foundations of Herbalism ProgramRegistration Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeChoose Your Program & Payment DetailsChoose Your Payment Option$1750.00 tuition payment in full today )$250.00 deposit today and monthly payments of $167.00, beginning April 5, and ending December 5, 2023. Review payment option details here.$250 Deposit$0 deposit with coupon code$2,000 Payment$0 payment with coupon codeCoupon code?NoYesEnter Coupon CodeSorry, that is not a valid coupon code. Try again or contact info@wildhealingherbs.com for assistance. That coupon code is valid! You will see your discounted total at the end of the form. Please Tell Us a Little About YourselfHow would you describe yourself in terms of your experience using herbal medicine: * Have you have studied herbalism before? If so, please tell us about this. *Do you currently use herbs for your own health care? *YesNoPlease share some of your experiences using herbal remedies. *What herb books or websites do you refer to for herbal advice (if any). *How do you plan to use the information you will learn in this program? *Do you have training in other healing modalities (medical license, massage therapist, acupuncturist, etc.)? *How did you hear about the Foundations of Herbalism program? *Is there anything else you would like us to know about you and your herbal aspirations? *Complete Payment If you are paying a deposit ($250) we will reach out to you about the remainder of the tuition balance due before March 5, 2023.Total$ 0.00Stripe Credit Card *CardName on CardSubmit