Ericksonian Hypnosis Workshop – 27 August 2022

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Address*

Street Address Address Line 2 Suburb State Postcode

Mobile*

Email*

Practice Discipline*

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Example: Website, Word of mouth, Flyer or Advertisement

Dietary Requirements

Vegetarian
Gluten Free

For other dietary requirements you are welcome to bring your own food. Our food is prepared in a commercial kitchen, so we cannot guarantee there has been no exposure to allergens.

Payment

Payment Type*

Student of 2022 Course – Free
Committee Member (EC & ESC) – Free
Presenters and supervisors – Free
Life Member – Free
Member – $55.00
Ex-member – $220.00 – Membership renewal fee required
Non Member – $220.00

Please complete the SASH membership form on the next page (after clicking Apply)

Payment Method*

Invoice with 'Pay by direct deposit'
Invoice with 'Pay by PayNow'

Personal information will remain confidential & not shared with any other entity.

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South Australian Society of Hypnosis - Hypnosis Leaders in South Australia

Ericksonian Hypnosis Workshop – 27 August 2022

Application Form

Payment