Hypnotic Research Society
Training Reservation Form

Fill out the following form as completely as possible so that we may reserve your space at our training sessions.

The following fields must be filled out for this form to be submitted: Personal Name and Email.

Name:
E*mail:
Your Web Address:
How did you find my page?
Class: Check all that you want to register for.
Hypnosis (Feb 27 - Mar 1 2009) $495
Hypnosis Alumni (Feb 27 - Mar 1 2009) $50
Regression (July 11,12,13 2008) $495
Regression Alumni (July 11,12,13 2008) $50
Releasement (TBA) $330
Releasement alumni (TBA) $50

Note: you may take the course as many times as you wish. All you need to pay for is a seat at $50 per class.
Payment Method: Check payable to HRS VISA MasterCard

Note: this is not a secure order form. If you would like us to phone you to get your card numbers, enter your phone number here:
Phone and Area Code:
Please note a deposit of $100 is needed to hold your place!
Comments or Questions:

Thank You! Press SUBMIT once to send the form.

For more information, call (407) 970-0243 or send e-mail to hypno-de@cenlink.net

No taping by participants please. The training classes will be recorded professionally and copies will be made available at the class for a nominal fee.

If you are not from the immediate area, staying at a local hotel or motel is desirable. You can search Yahoo in the "get local" section by using our zipcode [32792] to find the closest hotels. Click here to go to Yahoo.

Hypnotic Research Society, Inc.
Dr. Ronald P. De Vasto D.C.H.
3423 Astoria Court, Winter Park, Florida 32792
Phone: 407-970-0243
E-Mail hypno-de@cenlink.net

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Site created: 03/01/97; Page created: 05/28/03

Hypnotic Research Society Training Reservation Form

Hypnotic Research Society
Training Reservation Form