REGISTRATION
FORM
Intermediate/Advanced Workshop:
Treating Depression with Hypnosis--Michael Yapko, PhD
____________________________________________________________________________________ |
| Name/Degree
(please print) |
Email Address
|
_____________________________________________________________________________________ |
| Address
|
Phone
(include area code) |
_____________________________________________________________________________________ |
| City,
State & ZIP |
License
Number |
| |
|
| |
Sunday, March 11,
2007 |
| |
Treating
Depression with Hypnosis
Michael Yapko, PhD - 7 CEs |
| |
|
| SCSCH/ASCH/LACPA/CAMFT
members |
___
$175
|
|
Non-Member
Fee |
___
$210
|
Interns,
residents and students
(with school ID) |
___
$140
|
Make check
payable to: SCSCH
Mail to: SCSCH, 10921 Wilshire Blvd., Suite 504, Los
Angeles, CA 90024-4001
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