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NATCOM Admissions
PO Box 2857, Southport,
Qld 4215, Australia

Business enquiries - email us on natcom@hypnosis-nlp.com.au or phone 07 5594 7334

Customer Details (PRINT clearly)       Name Company Name if applicable Address State Post Code (ZIP)   Contact Details (PRINT clearly)               Phone Work Home     Fax Mobile   Email

1. Distance Learning Course(s)
Order details (PRINT clearly) Tick course required

Your Course Cost Investment Hypnotist Practitioner $5,190   Advanced Hypnosis $3950   Master Hypnotist $ Hands-on only N/A NLP (Practitioner level) $6950     Advanced NLP (Master Practitioner level) $3950     Counselling Skills $ 3500     Your Total Investment   $

Payment details = See below

2. Hands-on course(s)
Order details (PRINT clearly) Tick course required

Your Course Dates Cost** Investment   Self Empowerment (with Self Hypnosis & Self NLP) Hypnotist Practitioner   Feb 6th to Feb 7th 2011* Mar 11th to Mar 22nd 2011* Jul 9th to Jul 20th*   $ 200 $7190 $7190   Advanced Hypnosis Aug 5th to Aug 14th 2011 $5950   Master Hypnotist To be announced $2450   NLP (Practitioner level) Aug 26th to Sept 4th 2011 $8950     Advanced NLP (Master Practitioner level) Sep 16th to Sep 25th 2011 $5950     Counselling Skills Distance Learning only $ ------     Your Total Investment     $

* Course successfully completed

**Early Bird discounts are available if paid in full 30 working days prior to commencement of course.

Up to $2,000 off the normal price. Contact us for details

Payment details Amount $ as Full Payment Cash Cheque Credit Card Visa Bankcard Name on Card   Expiry date Card Number