Clinical Hypnosis Level 2 Booking Form
2009 Practitioner Diploma Course
All courses are held at the London School of Hygiene & Medicine in
Central London
BST Foundation: 5 Kingholm House, 106 Ridgway, Wimbledon, London, SW19 4RD
   Tel:020 8946 1432                                                                                        Vat No 809 6103 36
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Title          Name                                        Surname

Address ____________________________________________________________
___________________________________________________________________
___________________________________________________________________
Postal Code   ______________ Email ____________________________________
Telephone: Home No                                   Work No
Date of Birth
Occupation __________________________________________________________
Relevant Qualifications _________________________________________________
Where did you hear about the Foundation___________________________________
EXAMPLE Level 2 - Course Dates and Fees:
  • Basic Course Fee £1170 Plus VAT 17.5%= Total Course Fee£ 1375.00 - Deposit Payment £318.75 outstanding amount £956.25
  • Flexible payment plan: Deposit Payment £343.75plus 3x £ 343.75 payable by post-dated cheque for 29th November/ 31st January 2009/ 14th  March 2009.
  • Course Start 9.45am- Finish 5.00pm.
Saturday - 29th November 2008  Saturday - 14th March 2009
Saturday - 13th December 2008  Saturday - 4th April 2009
Saturday - 10th January 2008  Saturday - 25th April 2009
Saturday - 31st January 2008  Saturday - 9th May 2009
Saturday - 14th February 2009 Saturday - 30th May 2009
Saturday - 28th February 2009              Saturday -13th Exam June 2009
 
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

Signed ____________________________________Date_________________

(UK Clinical & Strategic Hypnosis Examination Board examination fee £117.50 incl vat)

I hereby enclose a deposit of £343.75. or enclose the full course fee of £1375.00 for registration onto the above course. Please make cheques payable to ‘BST Foundation’ and return with the completed booking form to BST Foundation,           5 Kingholm House, 106 Ridgway, Wimbledon, London, SW19 4RD

Amount paid £__________ Cheque No______________ Dated_______________