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2005 Prospectus

Application Form

24 St David's Drive, Scawsby, Doncaster, Yorkshire, England. DN5 8NF Telephone (0044) 01302 786977

To Post

Please print out the form below and fill in your details clearly before sending it to the address shown below, with your first payment of £45.00. Lesson One will be sent to you within 7 days of receipt of payment.

If you have any queries please email info@HypnoticWorld.co.uk We will do our best to reply within 24 hours.

Please enter your full name

Marital status

Please enter full address, including postal code and country

Email address

Telephone Number (daytime) (including area code)

Telephone Number (evening) (including area code)

Occupation

Date of Birth

Do you belong to any professional organizations? (If so, please give details)

Are you qualified if any other complementary therapies? If so, please describe.

Do you require personal tuition? Individual/group workshops

Hobbies and interests

Would you like to attend training sessions? Yes No

Have you had any previous training or experience in hypnotherapy? Yes No

Please verify your E-mail address

If you wish to pay online please click here

Any Questions?

If you have any questions regarding any aspect of the Diploma Course, we will be happy to assist you. If you would prefer to speak to someone personally, the telephone number to ring is

Freephone 0800 035 10-17

alternatively you can write to

Hypnotic World International Academy of Hypnotherapy

24 St David's Drive

Doncaster,

South Yorkshire,

DN5 8NF

England.

We can also be contacted on Doncaster (01302) 786977

f you would like to receive a prospectus and application form by post, please fill in the boxes below and we will post one to you as soon as possible.

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