Name
Occupation
Address
State .................... Postcode
...............................
Country
Phone home ................................. mobile
.......................................
email
Please indicate:-
Programme Location
Melbourne / Hobart / Sydney / Brisbane / Distance / …………….
Programme choice
Diploma of Solution Oriented Hypnosis
Advanced Diploma of Solution Oriented Hypnosis
Diploma of Solution Oriented Counselling
Advanced Diploma of Solution Oriented Counselling
Diploma of Solution Oriented Family Therapy
Diploma of Coaching for Solutions
Ericksonian Hypnosis - a 3 day intensive
Solution Oriented Counselling - a 3 day intensive
Solution Oriented Family Therapy - a 3 day intensive
Coaching for Solutions - a 3 day intensive
The Essential Therapist
Other ………………………………………..
Payment enclosed [all fees include 10% GST]
Cheque / BankCard / Mastercard / Visa for
A$..........................
Please make cheques payable to Rob McNeilly
direct deposit to BSB 807-009 a/c 1232-0721 Dr Robert
McNeilly
Name on card ……………………………………………………..
Card number ……………………………………… exp .… / ….
Signature …………………………………………………………..
please post to
336 Elizabeth Street
North Hobart TAS 7000
Australia
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