Thank you for your application request for the Classical Five-Element Acupuncture Program. Please fill out the below form and an application will be emailed. We hope for the opportunity to share this beautiful system of body/mind/spirit medicine with you.

~ Professor Neil R. Gumenick and the Staff of The Institute

Classical Five-Element Program Application/Additional Information Request Form

Your Name:
Business/Practice Name:
Address:
Address line 2 (if needed):
City:
State:
Zip Code:
Country:
Telephone:
Email Address
License Number & State


Please tell us how you heard about the program:

 

Questions/Comments:

 

You can also phone the Institute with questions at (310) 453-2235.



Refund Policy: The Program's refund policy does not apply to the purchase of books, supplies, or equipment.
All refunds will be made in accordance with the following refund schedule:
a. Applicant cancels within three business days after signing an enrollment agreement and making payment, all monies are refunded except the $150.00 application fee.
b. The Institute of Classical Five-Element Acupuncture Inc. finds it necessary to cancel the Program, its only obligation to the student will be to refund all monies paid to The Institute of Classical Five-Element Acupuncture Inc.
c. The student withdraws prior to commencing Session 2, all monies paid will be refunded within 30 days receipt of withdrawal by certified letter, less $2745.
d. No refunds will be given after the beginning of Session 2, except in the event that a schedule change by The Institute of Classical Five-Element Acupuncture Inc. forces the withdrawal of the student, in which case the unused tuition will be refunded on a pro-rata basis.
e. Any unpaid balance of tuition remains due and payable to The Institute of Classical Five- Element Acupuncture Inc. if the student withdraws or is dismissed after Session 2.



THE INSTITUTE OF CLASSICAL FIVE-ELEMENT ACUPUNCTURE INC.
528 Palisades Dr. #149, Pacific Palisades, CA 90272
www.5elements.com
(310) 453-2235