REGISTRATION
FORM
Friday, February 29, 2008-Sunday, March 2
Intermediate Hypnosis Workshop Developing Your Hypnotic Treatment Skills
20 Continuing Education Hours
____________________________________________________________________________________ |
| Name/Degree
(please print) |
Email Address
|
_____________________________________________________________________________________ |
| Address
|
Phone
(include area code) |
_____________________________________________________________________________________ |
| City,
State & ZIP |
License
Number |
| |
Friday, February 29, 2008-
Sunday, March 2 |
| |
20 Continuing Education Hours |
| |
|
| |
|
| SCSCH/ASCH/LACPA/CAMFT
members |
___
$395
|
|
Non-Member
Fee |
___
$595
|
Interns,
residents and students
(with school ID) |
___
$255
|
Make check
payable to: SCSCH
Mail to: SCSCH,
c/o Marion
Arom, Ph.D.,1125 S. Beverly Drive, Suite 401,
Los Angeles,
CA
90035
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|
Southern
California Society of Clinical Hypnosis
Telephone 1-888-32-SCSCH
c/o
Marion Arom, Ph.D.,1125 S. Beverly Drive, Suite 401,
Los Angeles,
CA
90035
e-mail: Administrator@scsch.org
|