Hypnotic Language Workshop Registration Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Prior Hypnosis Training * License Field, State & License Number * Agency/ Organization Name as you would like it to appear on your certificate * Fee of $150 for Hypnotic Language Workshop payable through Venmo or Zelle Pay via Zelle to Wellness Consultants International 919 403-7229 Or go to Venmo Business Acounts and pay: @MedicalHypnosisConsultants Thank you!
