.:: THAI MASSAGE SCHOOL ::.

Please fill in the details as required below and click "submit" to send to the Thai Massage school
office. You will be contacted shortly.(All field marked with * are required.)

Thai Massage Course 1	Starts Monday thru Friday	Week 1 or Week 3
Thai Massage Course 2	Starts Monday thru Friday	Week 2 or Week 4
Thai Technique Therapy Massage Course 1	Starts Monday thru Friday	Week 1 or Week 3
Thai Technique Therapy Massage Course 2	Starts Monday thru Friday	Week 2 or Week 4
Aroma Oil Massage Course	Starts Every Monday	Every Week
Foot Massage Course	Starts Every Saturday & Sunday	Every Week
Thai Herbal Hot Compress Course	Starts Every Saturday	Every Week

MASSAGE COURSE TYPE *

Thai Massage Course 1
Thai Massage Course 2
Thai Technique Therapy Massage Course 1
Thai Technique Therapy Massage Course 2
Aroma Oil Massage Course
Foot Massage Course
Thai Herbal Hot Compress Course
Thai Massage Course 1 + 2
Thai Technique Therapy Massage Course 1 + 2

SHARING ROOM ONLY *
Male Femle

PERSONAL INFORMATION *

Student Name *

Surname *

Student Name

Surname *

(if two people are learning please provide both name)

Your home address *

City

Country

Zip code *

Your email address *

Your tel / fax *

Special requirements

PAYMENT OPTION *

Payment :

Bank Transfer Cash

Bank Name	:	Bangkok Bank
Branch	:	Sutep Road
Account Name	:	Mr.Wasan Chaichakan
Bank Account No.	:	504-0-39765-4
Swift Code	:	BKK BTH BK

You can print and fill in details and sent via fax or mail to the following:-
Mail: Thai Massage School Shivagakomarpaj, 238/8 Wuolai Road, Chiangmai 50100
Thailand
Fax: 66 53 201663
Phone: 66 53 201663
Email: info@thaimassageschool.ac.th