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The International College of Iridology™
(Colegio Internacional de Iridología)

Membership Registration Form/ Formulario de Solicitud de Membresía

If you choose to be listed on the ICI website,
here is how you will be listed on our
Locate a Practitioner page.


 Prefer to print out this form and fill it out manually, download it here in English.

Prefiere llenar este formulario manualmente, descarga lo en Espanol aqui.


Please note: you do not have to be a graduate of Dr. Pesek’s Holistic Iridology Program to be a member!


*Required Field/*Casilla Requerida


Contact Information/Datos de Contacto

Payment Information/Información de Pago

You will be contacted shortly by someone from our office, with more information and the different payment options available.

Usted sera contactado pronto por alguien de nuestra oficina, con más información y las diferente opciones de pago disponibles.