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Registration

Please provide the following information:

First Name*
Last Name*
Sex M/F
Date of Birth
Marital Status (S/M/D/W)
Referred by
Have you attended any of CI academy's previous workshops/ sessions?
Yes     No
If yes, which one(s):
St. Address*
City*
State*
Country*
Zip/Postal Code*
Work Phone
Cell Phone*
E-Mail*

WORKSHOP OF INTEREST:
Please check (ΓΌ) the workshop or seminar of interest:
Hypnotherapy
Coaching
NLP
Healing Arts ( Reiki, Fengshui, Color Analysis, Enegram, ...)

CLASS COST DISCOUNT RATE POLICY (Read Thoroughly and initial)

If paid in FULL in one installment and submitted along with all completed forms.

  • A non-refundable deposit of $500.00 is required to reserve your space in this workshop.
  • In case of cancellation or postponing, a written request MUST be received at least 30 days     prior to workshop start date, otherwise total tuition is non-refundable and non-transferable.
  • Upon receipt of written request, 1st $300 of tuition is non-refundable, and remaining deposit     balance of $200 is transferable only to the next scheduled workshop of same title.
  • Upon start of workshop, total tuition is non-refundable.
  • Tuition is not transferable to another individual. at any point.
  • Workshop location subject to change.
    Initial

    PAYMENT INFO
    (Please DO NOT pay CASH by mail)

    By Mail:
    Enclosed is payment for registration of the above checked workshop: (USA only)

  • Check #:
    Amount:($)
    Driver License:
    State:

    Mailing Address:
    16161 Ventura Boulevard, Suite #518
    Encino, CA 91436
    Tel 001-310-927 3903
    website: www.completioninternational.com
    Email: info@completioninternational.com

    Online Via Pay Pal
    Enter the Amount: $ 


    AGREEMENT:
    I, the aforementioned, have thoroughly read and understand ALL information pertaining to the workshop I have registered for. I take full responsibility for participating in the entire duration of the workshop, as scheduled, and understand that my failure to do so will result in discharge from the workshop without return and/or transfer of funds.
    Date:

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