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Clinical Hypnosis Level 2 (DipHE) Booking Form
All courses are held at London School of Hygiene & Medicine in Central London & St Mary's University

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

Title:

Name:

Surname:

Address

Postcode:

Email:

Home Telephone:

Work Telephone:

Date of Birth:

- - (dd-mm-yy)

Occupation:

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 : £2499.00 (Inc. VAT)
Flexible payment plan : Flexible Payment Scheme: Basic Course Fee 2499.00 incl Vat. Deposit Payment of £416.50. Plus balance of 3 x £694.50, payable by post dated cheque for 18th September 2010/ 20th November 2010/ 5th Feb 2011.The outstanding amount of £2082.50 must be paid in full or by post -dated cheque 7 days prior to course start date.
Course start 10:00 - finish 04:45

Course Dates:
Day 1: Saturday, 18 September 2010	Day 2: Saturday, 09 October 2010
Day 3: Saturday, 23 October 2010	Day 4: Saturday, 06 November 2010
Day 5: Saturday, 04 December 2010	Day 6: Saturday, 15 January 2011
Day 7: Saturday, 05 February 2011	Day 8: Saturday, 26 February 2011
Day 9: Saturday, 19 March 2011	Day 10: Saturday, 09 April 2011
Day 11: Saturday, 14 May 2011
Examination Date: Saturday, 14 May 2011

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 £2499.00 (Inc VAT).

Deposit Amount: £416.50
Payment Method:

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