ADVANCED PROFESSIONAL HYPNOTHERAPY TRAINING REGISTRATION FORM.

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TO REGISTER BY REGULAR MAIL, PLEASE COMPLETE THE FORM BELOW, PRINT IT OUT ON YOUR PRINTER AND SEND THE COMPLETED FORM WITH YOUR REGISTRATION FEE (CHEQUE/POSTAL ORDER OR M.O) TO THE ADDRESS BELOW PLEASE MAKE CHEQUES PAYABLE TO : R. EVANS.
 
 
UNITED FELLOWSHIP HYPNOTHERAPISTS, (TRAINING DEPT)

103 Woodfield Road, Llandybie, Ammanford, Carmarthenshire, SA18 3UT

  
Name

Address

Post Code (Zip) Daytime Telephone No

Date of Birth (dd) (mm) (yy) Email Address

Have you previously studied hypnosis or hypnotherapy in any capacity YES NO (if yes please give details below)

Present Occupation

Please give breif details of your interest in hypnosis:

Have you ever been convicted of any serious criminal offence YES NO (if yes give details in the box below) Note: having committed a criminal offence does not automatically exclude you from registration of this course program in any way.

Please register me as a student with the UFH Advanced professional Hypnotherapy Course Training Programme, I confirm that i am a person of good character and standing and agree not to abuse the skills of hypnosis, I understand that the courseware supplied to me is for my own personal use and I agree to uphold any copyright information in respect of the courseware provided to me. I enclose my  full course and registration fee of £367.67nc PP by (please tick) Cheque............ Postal Order........... International Money Order.......... Cash............ please send Part One of my Training Course by return post. I understand that if my application is rejected my payment will be returned to me in full and Uncashed. Date: Please allow 14 Days for delivery (Normal Delivery Within 7 Days)