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Clinical Hypnosis Level 2 - Practitioners Diploma Booking Form
All courses are held at Queen's University of Belfast, Northern Ireland.

BST Foundation:
BST Foundation, 5 Kingholm House, 106 Ridgway, London SW19 4RD
Tel: 020 8946 1432

Title:

Name:

Surname:

Address

Postcode:

Email:

Home Telephone:

Work Telephone:

Date of Birth:

- - (dd-mm-yy)

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Relevant Qualifications:

Please Note:

If you are paying by Cheque please complete the application form, print and post to (5 Kingholme House, 106 Ridgway, Wimbledon, London, SW19 4RD) enclosed with the deposit cheque.

If you are paying by Credit Card please complete the application form and click on "apply now" button at the bottom of the form and we will contact you to take payment over the phone.

Where did you hear about the Foundation:

Course Fees:

Basic Course Fee : £1475.00 (Inc. VAT)
Examination fee : £120 (Inc. VAT)
Flexible payment plan : Full course fee or Deposit Payment £368.75 on application plus 3x £ 368.75 payable by 3 post-dated cheques dated- 30th Jan 2010/ 13th March / 1st May 2010.
Course start 09:45 - finish 17:00

Course Dates:
Day 1: Saturday, 30 January 2010	Day 2: Sunday, 31 January 2010
Day 3: Saturday, 20 February 2010	Day 4: Sunday, 21 February 2010
Day 5: Saturday, 13 March 2010	Day 6: Sunday, 14 March 2010
Day 7: Saturday, 03 April 2010	Day 8: Sunday, 04 April 2010
Day 9: Saturday, 01 May 2010	Day 10: Sunday, 02 May 2010
Day 11: Saturday, 05 June 2010	Day 12: Sunday, 06 June 2010
Examination Date: Sunday, 06 June 2010

Terms and Conditions:

Course fees will only be refunded if written notice is received by the BST Foundation seven days prior to course commencement date. This will be at the discretion of the BST Foundation.
In the event that candidates do not meet the BST Foundation selection criteria deposits will be refunded.
All course fees must be paid prior to course commencement date.
The BST Foundation reserves the right to amend course dates & location
Course material is subject to copyright.
Failure to comply with the standards & practices lay down by the BST Foundation may result in exclusion from the course.
These conditions do not affect your statutory rights.

I have read and agree to the above terms and conditions

Full Course Fee £1475.00 (Inc VAT). Examination fee : £120 (Inc. VAT)

Deposit Amount: £368.75
Payment Method:

Please tick this box if the above information is correct

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