STAGE HYPNOSIS COURSE

Name (as it will appear on your certificate)_________________________

Address __________________________________________________
_________________________________________________________
_________________________________________________________
Phone ___________________
E-mail ___________________

I wish to attend the Stage Hypnosis Course and indicate my preferred method of payment below. If you need to cancel your booking, your fees will be refunded less the non-refundable deposit if given one months notice or more. No refunds will be given if less than one months notice is given.

Payment in Full.
I enclose a cheque for £395  made payable to NLPNOW for my place on the seminar, for my place on the seminar.

Instalments.
I enclose a cheque for £150  (non-refundable deposit) made payable to  together with ____ post-dated cheques to reserve my place on the seminar (balance of payments are due in full by 1st September 2004)

Signature_______________________________________
Date __________________