Membership form

Certificate and Membership application form
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*Name as you want it to appear on your certificate:

*Email::

*Have membership fees been paid:

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*Do you wish to take up membership:

Membership taken
Will apply for membership later
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*State which organisation you wish to join:

The Guild of Advanced Hypnotherapists
The Metamorphic Society
The Indian Head Massage Association

*Date certification applied for:

*Confirm you agree to the declaration of learning:

*Confirm you have completed the witness statements:

*Names of Witness on witness statement:

*Confirm you accept all terms and conditons:

*What did you think of the course:

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*How will was the syllabus covered:

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*Was the Home Study easy to follow:

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*How do you rate our response to Emails:

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*How would you rate your tutors help:

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*Testimonial for the web site:

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