RELEASE FORM for Materials issued from:
Sylla Sheppard-Hanger, DBA The Atlantic Institute of Aromatherapy
16018 Saddlestring Dr, Tampa, FL 33618-1401 Phone/fax (813)265-2222

Disclaimer

The intention of The Atlantic Institute of Aromatherapy and Sylla Sheppard-Hanger is to provide you with up to date information concerning the uses of essential oils and plant extracts for health and well-being of body, mind, and spirit as it is currently being practiced in this country. Much of the material in this course material is based upon various published sources including scientific and clinical research. There is no warranty made regarding the completeness of the accuracy of this publicly available information. The material in this course is not intended to replace the advice of attention of the proper health care professionals, direct their behavior or replace their independent professional judgement.

This course contains detailed information about customary precautions you will want to remember in use. Therefore, The Atlantic Institute of Aromatherapy and its current or future instructors including Sylla Sheppard-Hanger, Doug E. Rasmussen, Martin Watt, Tony Burfield, Robert Pappas, and any others accept NO responsibility for any problems experienced by you or anyone you may treat arising out of experimentation with the methods of aromatherapy described. Any applications of the suggestions set forth is at your own discretion and risk.

I have read and understand the above information

Clause: Absolutely NO PART of the material in the above named copyrighted publications may be photocopied, or shared with anyone not on this course, NOR can any of the material be adapted for teaching. Therefore, I, _____________________________________ (print name) hereby agree to use the materials listed below as a self-study program for myself alone. I will not share this information with anyone not on this course; nor will I photocopy any pages; nor will I adapt any part for my own teaching purposes (without a licensing agreement with the Atlantic Institute of Aromatherapy) the information contained within The Aromatherapy Practitioner Correspondence Course, The Chemistry of Essential Oils and Principles of Perfumery, The Aromatherapy Practitioner Reference Manual, or Natural Aromatic Materials. All course materials remain the property of The Atlantic Institute of Aromatherapy until successful completion of the course. I understand that any breach of this agreement will result in legal action seeking substantial damage. I have read, fully understand and agree to the above.

STUDENT PAYMENT AGREEMENT
&
INSTALLMENT OPTIONS

When you place your order, your credit card will be billed in 3 equal monthly (first, then 2 consecutive months) payments based on the current price of the course you ordered. the course is also shipped in three monthly sections.

I, _____________________________________ (print name) hereby authorize The Atlantic Institute of Aromatherapy to charge my credit card account in three equal payments at monthly intervals based on the current course price. Though students may work the course at their own pace, the course must be paid for and received within one year.

I hereby agree to pay installment payments as set out above:

I M P O R T A N T - By signing this Application I represent that:
• Due to the copyrighted nature of the course material, returns and refunds are not allowed except in the case of damage in shipment, in which case the item will be replaced.
• I have read and understand this Enrollment Contract, the AIA's obligations and the Refund policy and I agree to be bound by the terms of payment set out above.
• I understand that this Enrollment Agreement will become legally binding when signed by myself and received by the Atlantic Institute of Aromatherapy.

After you have printed out this form, click here to return to the AIA home page.
Don't forget to mail or fax 813.265.2222 (then mail) the signed document to the AIA.

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ALL RIGHTS RESERVED