ALCHEMY HOME STUDY PROGRAM APPLICATION

To apply by mail or fax, print out this form, then fill it out and send to Flamel College.

To apply online, click the "Add to Cart" button next to your option and fill out the online form.

Name: _______________________________________________________________

Address: _____________________________________________________________

City: ___________________________________ State/Province: ________________

Postal Code: __________________ Country:________________________________

Telephone ( ) _______________ Email: _________________________________

□ OPTION 1: Enroll me in the Alchemy Home Study Program consisting of the following modules:

Module 1: Alchemistic Philosophy, Module 2: Spiritual Alchemy and Perfection of the Soul, Module 3: Using Alchemy in Everyday Life, Module 4: The Metals and Their Correspondences, Module 5: Practical Laboratory Alchemy, Module 6: Spagyrics: Signatures and Healing,

Each of the six modules above covers a separate aspect of alchemy. Materials provided include texts, manuals, labware, and samples of various chemicals, metals, herbs, and tinctures. You must pass a written test to progress to the next module. However, there is no time limit for completion of the modules. A certificate will be issued after completion of all six modules and passing of a comprehensive exam. Foreign Students

□ I will pay for each module separately ($80 first payment).

□ I will pay for all six modules in advance at the reduced cost of $325 (a $480 value).

□ OPTION 2: Enroll me in the Master Alchemist Certification Module consisting of: Module 7: Master Alchemist Certification.

This 3-6 month module is designed to certify individuals to hold local alchemy seminars, classes, and personal consultations, as well as qualify as paid ETX alchemy instructors. Modules 1-6 must be successfully completed before admission to the Module 7 level. Final diploma will be issued after completion of Module 7 and submission of a dissertation on an alchemical topic of your choice. Foreign Students

□ I will pay for Module 7 in three installments ($90 first payment).

□ I will pay for module 7 in advance at the reduced cost of $225 (a $270 value).

□ OPTION 3: Enroll me in the Complete Master Alchemist Program consisting of all seven modules.

Discounted cost for the entire course is $485 (a $750 value).

Mail or Fax Your Enrollment

Mail to: Flamel College, P.O. Box 22309, Sacramento, CA 05822-0309 USA. International Fax: 916-760-0823.

□ I have enclosed a check or money-order in payment for the options checked above.

□ I want to pay by credit card (Visa or Master Card).

Credit Card #: _____________________________________ Expiration Date: __________

Signature: _________________________________________________________________

Foreign Students

Students outside the United States and Canada, please note: Course materials are shipped Surface Mail. If you prefer International Airmail, please add a $10 airmail surcharge to each individual module ($90 total for each module). If you are paying in advance for Option 1 or 3, the total surcharge is $50.

Your instructor will be a Master Alchemist in your area. He or she will be your primary contact and will mail you manuals and supplies for each module. No one will contact you without your permission. If you have any questions, fill in the Inquiry Form or call toll-free (877) STAR-ETX.