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<p class=MsoNormal><span lang=en-US style='font-size:15.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>Page 3</span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:15.0pt;font-family:"CG Times";color:#990099;
font-weight:bold;language:en-US'> </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:15.0pt;font-family:"CG Times";color:#990099;
font-weight:bold;language:en-US'>ERICKSONIAN HYPNOSIS & BRIEF PSYCHOTHERAPY</span></p>
<p class=MsoNormal><span lang=en-US style='font-family:"CG Times";font-weight:
bold;language:en-US'>���� </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:15.0pt;font-family:"CG Times";color:#990099;
font-weight:bold;language:en-US'>P R A C T I T I O N E R�� L E V E L�� I I</span><span
lang=en-US style='font-size:14.0pt;font-family:"CG Times";color:#990099;
font-weight:bold;language:en-US'> </span><span lang=en-US style='font-size:
16.0pt;font-family:"CG Times";color:#990099;font-weight:bold;language:en-US'> </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'> </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'> </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>To enroll</span><span lang=en-US
style='font-size:12.0pt;font-family:"CG Times";language:en-US'>, </span><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";font-style:italic;
font-weight:bold;language:en-US'> print and fill out this registration form,</span><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";language:en-US'> mail it with your check or charge information </span><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'>TODAY</span><span lang=en-US style='font-size:12.0pt;
font-family:"CG Times";language:en-US'>.� To register by phone call</span><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'>� (301) 565-0103 or (800) 343-9915 or FAX 301-588-9535.</span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
language:en-US'> </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
language:en-US'>You</span><span lang=en-US style='font-size:13.0pt;
font-family:"CG Times";language:en-US'> want</span><span lang=en-US
style='font-size:12.0pt;font-family:"CG Times";language:en-US'>� is excellent training... </span><span
lang=en-US style='font-size:13.0pt;font-family:"CG Times";language:en-US'>this</span><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";language:en-US'>� is excellent </span><span
lang=en-US style='font-size:13.0pt;font-family:"CG Times";language:en-US'>training</span><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";language:en-US'>!�� </span><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";font-style:italic;
font-weight:bold;language:en-US'>Enroll� TODAY� </span><span lang=en-US
style='font-size:12.0pt;font-family:"CG Times";language:en-US'>for this adventure in learning.� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
language:en-US'> </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
language:en-US'>- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -</span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";language:en-US'>� </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:13.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'>R E G I S T R A T I O N�� F O R M </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:13.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'>��������� </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'>LEVEL II TRAINING�� *� September 21,22,23,24,25, 2006</span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-family:"CG Times";font-weight:bold;language:en-US'>� </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:16.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'> </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:16.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'> </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>NAME: _______________________________________________________ DEG._____________ </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>���������������� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>ADDRESS:______________________________________________________________________�� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>����������������������������������������������� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>CITY:______________________________________________STATE:______� ZIP:__________� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>����������������� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>WORK PHONE:_________________________ HOME PHONE:_________________________</span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>�������������������� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>Amount charged or enclosed� $ 545.00</span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>������������������������������������� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>Visa or Master Card # ____________________________________________________________������ </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>������������������������������� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>Signature ________________________________________________Expires _____/_____/_____� </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'> </span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>�Make checks payable to A H T A or fill out charge information and mail to:</span></p>
<p class=MsoNormal><span lang=en-US style='font-size:12.0pt;font-family:"CG Times";
font-weight:bold;language:en-US'>��������� </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'>AMERICAN HYPNOSIS TRAINING ACADEMY, INC.</span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:12.0pt;font-family:"CG Times";font-weight:bold;
language:en-US'><span dir=ltr></span>1110 Fidler Lane, Suite 1218, Silver Spring, MD 20910</span></p>
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<p class=MsoNormal style='text-align:center;text-align:center'><span
lang=en-US style='font-size:14.0pt;font-weight:bold;language:en-US'>Level II� Invitation� </span></p>
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lang=en-US style='font-size:14.0pt;font-weight:bold;language:en-US'> </span></p>
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lang=en-US style='font-size:14.0pt;font-weight:bold;language:en-US'> </span></p>
<p class=MsoNormal style='text-align:center;text-align:center'><a
href=Page1138.htm><span lang=en-US style='font-size:14.0pt;text-decoration:
underline;font-weight:bold;language:en-US'>Previous Page</span></a><span
lang=en-US style='font-size:14.0pt;font-weight:bold;language:en-US'>����� </span><a
href=Page660.htm><span lang=en-US style='font-size:14.0pt;text-decoration:
underline;font-weight:bold;language:en-US'>First Page</span></a><span
lang=en-US style='font-size:14.0pt;font-weight:bold;language:en-US'>����������� </span></p>
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<p class=MsoNormal style='text-align:center;text-align:center'><a
href="../index.htm"><span lang=en-US style='text-decoration:underline;
language:en-US'>Home</span></a><span lang=en-US style='language:en-US'> | </span><a
href=Page400.htm><span lang=en-US style='text-decoration:underline;
language:en-US'>About AHTA</span></a><span lang=en-US style='language:en-US'> | </span><a
href=Page416.htm><span lang=en-US style='text-decoration:underline;
language:en-US'>About Hypnotherapy</span></a><span lang=en-US
style='language:en-US'> | </span><a href=Page536.htm><span lang=en-US
style='text-decoration:underline;language:en-US'>Trainers</span></a><span
lang=en-US style='language:en-US'> | </span><a href=Page673.htm><span
lang=en-US style='text-decoration:underline;language:en-US'>Training</span></a><span
lang=en-US style='language:en-US'> | </span><a href=Page642.htm><span
lang=en-US style='text-decoration:underline;language:en-US'>In House</span></a><span
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lang=en-US style='text-decoration:underline;language:en-US'>Communities</span></a><span
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lang=en-US style='text-decoration:underline;language:en-US'>Contact</span></a></p>
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