Brookhouse Hypnotherapy (Essex) DipCAHHPD Course Application Form by klutzfu58

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									            Brookhouse Hypnotherapy (Essex)
            Part of the Brookhouse Hypnotherapy Group, providing therapeutic services since 1989


            Consultant:          Danielle Lyons, BSc, PGCE, MSc, Dip CH.P, MNCH (Reg)
                                 36 Ardmore Lane, Buckhurst Hill, Essex, IG9 5SA
                                 020 8257 2901
                                 info@daniellelyons.co.uk




            DipCAH/HPD Course Application Form
Name:

Address:


Phone:

Email:

Date of birth:

Qualifications:


I enclose a deposit of £______ (minimum 20%). I understand this deposit
is refundable only if I am not accepted onto the course.

Cheques payable to Danielle Lyons total tuition fee inclusive of VAT
and Certfication is £1510.00

I will pay the balance of £______ on enrolment or I have made
payment plan arrangements, which can be paid over 6 months.

I declare that the above information is correct and that, if accepted
on to the course, I will pay the full balance as agreed. I understand
that acceptance of my application is at the discretion of the
Washington School and that no reason need necessarily be given
should my application be declined.

Signed

Date

Please return to Danielle Lyons, Brookhouse Hypnotherapy, 36 Ardmore
Lane, Buckhurst Hill, Essex, IG9 5SA




         Brookhouse Hypnotherapy Group has independently owned and operated practices in Manchester,
                      Leics, York, Kent, Hampshire, Wrexham, Devon, Berks, Essex and London

              Head Office: Richmael House, 25 Edge Lane, Chorlton cum Hardy, Manchester M21 9JH
             Tel: 0800 8496327/+44 161 881 1677 Fax: +44 161 882 0376 Email: info@hypnotherapy.org.uk
                                        Website: www.hypnotherapy.org.uk

								
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