Course Registration


Name & Address
Title
First Name *
Last Name *
Suffix
Name of company, institution, or practice
Address *
City *
State *
ZIP or Postal Code *
Country

Contact Information
Office Phone *
Fax Number
E-Mail Address *

Select Course
Please select course(s) for enrollment.
Select Title Start Tuition
Advanced Neuro-Noetic Hypnosis 12-pack prepay $1299.00
Advanced Script Writing Techniques Perpetual $149.00
Chiropractic Suggestions: Using Healing Words to Enhance Patient Care and Practice Success Perpetual $145.00
Clinical Hypnotherapy Fundamentals Perpetual $145.00
Elman Hypnotherapy: Beyond the Basics Perpetual $185.00
Embracing Ambiguity: The Worlds of Ericksonian Hypnosis Perpetual $185.00
Enhancing Performance: Unleashing your True Human Potential Perpetual $145.00
Exploring the Hypnotic Brain Perpetual $145.00
Healing the Body: Somatic Transformation through Suggestion and Imagination Perpetual $145.00
Healing the Mind: Advanced Hypnotic Interventions for Anxieties, Phobias, Impulses, and Habits Perpetual $145.00
Integration: Innovations in Mind/Body Therapies Perpetual $185.00
Neuro-Linguistic Programming Basics Perpetual $145.00
New Directions in Hypnotherapy Perpetual $145.00
Space/Time-based Interventions Perpetual $145.00
The Application of Transformation Theory Perpetual $145.00
The Neurology of Suggestion Perpetual $145.00
Therapeutic Suggestions: Enhancing Healing through Improved Patient Communication Perpetual $145.00

Credit Card
Please enter credit card information.
If you do not wish to use a credit card, please print this completed form, include your check, and mail to:
IHRI, PO Box 367, Anniston, AL 36202

Charge amount due to my credit card (AMEX / Discover / Master Card/ VISA)

Card Number:  Required
Expiration Date:  Required
3 or 4 Digit Security Code
(from back side of card):
 Required
Name as shown on card:  Required
Billing Address:  Street Only!  Required
Billing State or Province:   Required (If not applicable, write None.)
Billing ZIP (Postal) Code:  Required
Total:
Member Discount
If you are a current member of The International Hypnosis Research Institute, please enter your member number below. An additional 25% will be deducted from the total prior to processing your charge.

I certify that I have reviewed the contents of this entire form and that my entries are correct, that I understand the requirements of the course, and the IHRI refund policy as well as my credit card will be charged the above amount.



Your transaction will show up on your statement as The International Hypnosis Research Institute, LLC.

Note: If you are eligible for a free course as a member, please login to your account and follow the “Free Course” link. Using this page will result in a charge to your credit card.
© 2000 - 2017 The International Hypnosis Research Institute. All Rights Reserved.