SASH Refresher Day – 25 March 2023 – SA Society of Hypnosis

Name

First Last

Address*

Street Address Address Line 2 Suburb State Postcode

Mobile*

Email*

Practice Discipline*

How did you hear about the SASH Workshop?*

Example: Website, Word of mouth, Flyer or Advertisement

Dietary Requirements

Other Dietary Requirements

Payment

Payment Type*

Graduate Student of the 2022 Course*

Student of 2023 Course*

Faculty & Committee Member*

ASH/SASH Member*

ASH/SASH Former Member*

Workshop includes membership renewal $150.00

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

Non Member*

Payment Method*

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

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