| First Name* |
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| Last Name* |
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| Sex M/F |
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| Date of Birth |
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| Marital Status (S/M/D/W) |
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| Referred by |
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Have you attended any of CI academy's previous workshops/ sessions?
Yes
No
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| If yes, which one(s): |
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| St. Address* |
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| City* |
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| State* |
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| Country* |
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| Zip/Postal Code* |
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| Work Phone |
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| Cell Phone* |
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| E-Mail* |
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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 $200 is transferable only to the next scheduled workshop of same title.
Upon start of workshop, total tuition is non-refundable.
Tuition is not transferable to another individual. at any point.
Workshop location subject to change.
Initial
PAYMENT INFO
(Please DO NOT pay CASH by mail)
By Mail:
Enclosed is payment for registration of the above checked workshop: (USA only)
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| Check #: |
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| Amount:($) |
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| Driver License: |
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| State: |
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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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