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9 Day Comprehensive Clinical Hypnosis Training
With Liliana Cané, PhD, Psychologist

September 24, 25 & 26 2010
November 12, 13 & 14 2010
February 4, 5 & 6 2010

Ottawa, Canada (location to be determined)

Workshop Fee

• Before August 17th - $2450 (Deposit of $600 included)
  
• After August 17th - $2750 (Deposit of $600 included)

$600 deposit with registration is required to reserve your place.

The balance is to be paid in installments at each of the three workshops:

• Early Bird Balance
  $1850 ($2450 - $600 deposit) = $616.67 at each workshop
• Regular Fee Balance
  $2150 ($2750 - $600 deposit) = $716.67 at each workshop

Complete the registration information below and click the Submit Registration button. You can then make your secure online payment for the $600 deposit by clicking on the PayPal button. You will then be linked to the PayPal system to pay your conference fee online. PayPal accepts VISA, Mastercard, Discover and American Express.

Cancellation Policy

The $600 deposit is refundable, less 25% for administrative services, if notice of cancellation is given by September 10th, 2010 at the latest. The full amount will be refunded if an applicant is not accepted or if the program is cancelled.

Registration Step 1: Participant Information

Delegate's Name:
Credentials:	MD PhD MA MEd	MSW RN/RPN Student Other
Organization/Affliation:
Street Address:
City:
Province/State:
Postal Code/ZIP:
Phone:
Fax:
E-mail (for confirmation):
Special Needs (please specify):
Privacy Commitment The Ottawa Anxiety & Trauma Clinic collects and uses personal information only to process registration, administer the event, and to invite participants to future conferences or workshops hosted by our clinic.

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If you prefer to pay by cheque or money order please click here to download a PDF version of the registration form.