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A NYSEPH MASTER CLASS
SETTLING THE UNSETTLED:

A MASTER CLASS WITH
JEFF ZEIG, Ph.D.
Designed for the experienced clinician.

MARCH 9th, 10th & 11th 2007:
9am – 5pm
at the
National Institute For The Psychotherapies
250 West 57 th Street 
New York City


APPLICATION

NAME_____________________________ DATE____/____/_______

Address__________________________________________Zip_________________

Phone: Home _______________ Work _________________ Cell _______________

Email _______________________________

Where and for how long did you train in hypnosis?

 _________________________________________________________________________

The fee for the 3-day workshop is $675 for members and $725 for non-members.

Please include payment in full (non-refundable) along with your application in order to reserve space.
Checks should be made payable to NYSEPH.
Please send to:

NYSEPH
440 West End Avenue, Suite 11C
New York , NY 10024