Please check one below:

I am including a check or money order for the non-refundable down-payment ($500.00),
for materials and registration.  I understand that the remaining cost of $1495.00 is due by
September 6th, 2008:  ____

I am including the full payment of $1995.00:  ____

Please print this page, fill out the following information, and mail it
with your check or money order to:

HETI
25 Middle Street
Portland, ME 04101


Name:  _______________________________________

Telephone number:  _______________________________________

E-mail Address:  _______________________________________

Address:  _______________________________________

City:  _______________________________________

State:  __________

Zip:  __________

Thank you!
Hypnotist Certification Training
A 100-hour course provided in collaboration between the Health Education and Training Institute and HypnoWave
Hypnosis Training Center, spanned over five weekends.  Of the 100-hour course, 72 hours are spent in class, and
the remaining 28 hours are done through home-study.
This training has been submitted to the Maine Board of Social Worker Licensure and the Maine Board of
Alcohol and Drug Counselors for pre-approval for
62 continuing education units.
September 27th and 28th, 2008
October 4th and 5th, 2008
October 11th and 12th, 2008
October 18th and 19th, 2008
October 25th and 26th, 2008
Cost: $1995.00
Location:  25 Middle Street
Portland, ME 04101
9:00 a.m. - 5:00 p.m. each day
Taught by Ernest VanDenBossche, BCH, CI