MASTERCLASS BOOKING FORM
To enrol on a Masterclass simply fill in both sides of this application form and return to:
LCCH, 27 Gloucester Place, London W1U 8HU
PLEASE NOTE: Some masterclasses may not be suitable for wheelchair access. Please enquire before booking.
The cost of each Masterclass is £94-00 (£82-25 for LCCH Students, BSCH
Members and EJCH subscribers), or £164-50 (£141-00 for LCCH Students,
BSCH Members and EJCH subscribers) if enrolled for two Masterclasses. All
prices include VAT.
I am a current LCCH Student and/or a BSCH Member
I am a European Journal of Clinical Hypnosis subscriber
I/We should like to enrol for the following Masterclasses
I/We enclose £.............................. for a single Masterclass.
I/We enclose £.............................. for two or more Masterclasses.
I understand that the fee(s) is refundable only if the Masterclass is cancelled. However,
delegates may transfer to any other date/venue. Cheques should be made payable to
MJ LECTURES and posted with the completed application form to the address above.
Name:...................................................................................Student No:..........................
Address:..............................................................................................................................
.....................................................................................Postcode: ......................................
Telephone/Home: ...................................................Work:..................................................
E-mail:.................................................................................................................................
METHOD OF PAYMENT
Cheque, to be made payable to MJ Lectures
VISA / MASTERCARD
Number
Expiry Date
Signature...........................................................................................
Date.........................
Summer 2005
28
London College of Clinical Hypnosis