hypnosis
Center for Personal Power 1325 E. Thousand Oaks Blvd., #200 Thousand Oaks, CA 91362 818-974-8245 Fill out the below, print this page and send to Center for Personal PowerRegistration for Hypnosis Training
Saturday and Sunday, August 21, 2010 through September 26, 2010Yes, please register me for the Exciting World of Hypnosis, 6 week training and certification course.
I
understand that upon completion of course, and passing a written final
examination, I will have earned
the title of
Certified Hypnotherapist, certification through Center for Personal Power and the
National Guild of Hypnotists.
Name: _____________________________________________________________
Address: ____________________________________________________________
City/State/Zip: _______________________________________________________
Phone: (Home/Bus/Cell)_________________________________________________
E-Mail:
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Program Prices:
[ ] $1,250.00 at the door. ($200 deposit required to reserve seat)
[ ] $ 950.00 when paid in full prior to August 1, 2010
Payment method: Check [ ] MC [ ] Visa [ ] AMEX [ ]
Card #: ________________________________________________
Exp Date: ______________________________________________
Security Code: ___________________________________________
Signature: ________________________________________________________
Date: __________________________________