British Flower & Vibrational Essences Association Membership Application Form Name: Address: Post code: Tel: No (incl.code)                                     Fax. No.                                      Mobile No. Email:                                                         Website: http:// BFVEA Compliant Practitioner Course Attended: Please supply the following information with your application ( )   Photocopy of course certificate ( )   Photocopy of Anatomy & Physiology certificate ( )   Photocopy of your Insurance document if you have one. ( )   *Signed Code of Conduct agreement form.  Practitioner Members (if you have attended a course that is not BFVEA accredited you will also need to send in the following information. ( )    3 x 3 case histories (a case history format is available on request or can be downloaded from the website)  Click here ( )   Evidence that all subjects on the compliant course has been studied (a form is available on request for you to complete or can be downloaded from the website)  Click here ( )   Photocopy of your Practitioner Insurance document if you have one. ( )   *Signed Code of Conduct agreement form. Practitioner Therapist Membership If you are an existing therapist and offer essences within your practise and are insured please supply the following ( )   Photocopy of certificates of therapies offered ( )   Photocopy of Anatomy & Physiology Certificate ( )   Photocopy of current Insurance certificate ( )  *Signed Code of Conduct agreement form. Practitioner Membership by Experience  (you can apply for practitioner membership by experience if you can show evidence of working with essences for two years or more) ( )   CV and journey with essences, books read, essence making, flower essence workshops attended etc. ( )   Photocopies of certificates or evidence of prior learning of recommended stubjects i.e. Reiki, Healing, Kinesiology etc. ( )   Photocopy of Anatomy & Physiology certificate ( )   3 x 3 case histories (a case history format is available on request or can be downloaded from the website) Click here ( )   Photocopy of your Insurance document if you have one. ( )   *Signed Code of Conduct agreemen form. Category of membership required ( )   £40  -  British Advanced Practitioner membership.   ( )   £45  -  International Advanced Practitioner membership.  ( )   £40  -  UK Practitioner membership ( )  £45  -  International Practitioner Membership ( )   £20 half year UK Advanced Practitioner membership (50% discount for first time members joining after 31st October) ( )   £20 half year UK Practitioner membership (50 % discount for first time members joining after 31st October) ( )   £22.50 half year International Advanced Practitioner membership (50% discount for first time members joining after 31st October) ( )   £22.50 half year International Practitioner membership (50% discount for first time members joining after 31st October) Total enclosed       £                               Cheque/P.O. enclosed made payable to BFVEA.  Do you wish to pay by credit card or Pay Pal account                 Yes   For International applicants if you wish to pay be credit card or Pay Pal account you will be sent an email from our Membership Secretary with a 'pay now button' once your application has been processed.  You will receive your membership certificate once we have received payment.    The BFVEA has arranged group insurance for UK based Practitioners from Holistic Insurance.  Each Practitioner is responsible for obtaining their own public liability insurance.  (The Holistic Insurance document can be downloaded from this website)  Click here  All International Membership will need to source their  public liability insurance from a reputable Insurance Company in their country of residence. ( )   Do you wish for your details (Name, Address, Telephone number, email address, website link) to be listed on this website?  Please complete the table below with details. *Code of Conduct and Constitution - All Practitioner members will be required to sign an agreement document.  Documents can be downloaded from the website.  Click here. Please make cheques/PO payable to BFVEA and send this form, your subsciption and paper work to: BFVEA, BM, London, WC1N 3XX, UK or contact the Practitioner Officer for direct address. Information for website inclusion    Name Address Tel: No. Email Website           Signed                                                                                        Dated Do you require a receipt                    Yes                  No