CONFERENCE REGISTRATION FORM A … 2 HR WORKSHOP PRICES $35 EACH $35 Select SATURDAY 2 HR WORKSHOPS...
Transcript of CONFERENCE REGISTRATION FORM A … 2 HR WORKSHOP PRICES $35 EACH $35 Select SATURDAY 2 HR WORKSHOPS...
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Workshop & Course selections on reverse side!
CONFERENCE REGISTRATION FORM A Complementary Healthcare Extravaganza
Daytona Beach Resort, Daytona Beach, Florida ~ May 19th – 21st, 2017 Full Conference Includes Saturday Banquet & Awards_Dinner! Full Conference before April 19th after April 19th Members $299 $359 Nonmembers $359 $399 Friday Only $159 Saturday Only (dinner not included) $159 Saturday Luncheon (additional fee) $25 Saturday Night Dinner $59 Sunday Only $119 Sunday Luncheon (additional fee) $25 Virtual Conference $259 $299 (Includes: unlimited access to all three lecture rooms – all handouts – and mp3 downloads of all the lectures ) Full Conference Includes Saturday Banquet & Awards Dinner!
Full Conference Fee Fri, Sat, Sun $_______
(Select from Member, Nonmember pricing)
Friday Only $_______ Saturday Only $_______ Sunday Only $_______ 2 Hr Workshop ($35) $_______ 3 Hr Workshop ($45) $_______ Pre Conference Course $_______ Post Conference Course $_______
Saturday Luncheon $_______ Vegetarian please check ����������������������������� Sunday Luncheon $_______ Vegetarian please check ���������������������������������� Saturday Dinner Only $_______ Vegetarian please check ���������������������������������� Virtual Conference $_______ Total Amount $_______
YES! I will be attending the Hypno Expo Conference
YES! I am a member of IACT IMDHA IAPH (circle one)
Name: _________________________________________
Address: _______________________________________
City: __________________________________________
State: _______________________ Zip: ______________
Phone: _________________________________________
Fax: ___________________________________________
Email: _________________________________________ Method of Payment (circle one) Cash Check M/O Credit Card
_______________________________________________ Credit Card Number (Visa/MC/Amex/Disc) Exp Date CVV#
________________________________________________________
Signature
CONFERENCE REGISTRATION �ONLINE: www.iact.org / www.imdha.com �PHONE: 570-869-1021 �FAX: 570-869-1249 �MAIL 8852 SR 3001, Laceyville, PA 18623
�ROOM RESERVATION: Daytona Beach Resort 1-800-654-6216 or 386-672-3770 Use reservation code ���������� for special rate. �CANCELLATIONS: Full refund (less $25 administrative fee) must be made in writing prior to April 19th
You’re Invited! The International Association of Counselors and Therapists and the International Medical and Dental Hypnotherapy Association® take great pride in bringing you this incredible opportunity. Hypno Expo 2017 promises to be filled to the brim with new techniques and innovative ideas; Providing YOU with a ‘once-in-a-lifetime’ chance to learn from and network with the top educators in our profession. By committing to attend the conference, you have the unique opportunity to meet celebrated educators, create lasting memories and renew long-time friendships with professionals from around the globe!
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2 H
R W
OR
KSH
OP
PRIC
ES
$35
EA
CH
$35
Sele
ct
SA
TU
RD
AY
2 H
R W
OR
KSH
OPS
Hy
pnos
is to
Supe
rchar
ge th
e Law
of A
ttrac
tion
(Hold
er) 1
0:00
Stop
Inter
roga
ting t
he C
onsc
ious (
Stor
k) 10
:00
The A
rt of
the S
ale (V
alent
ine) 1
0:00
Aller
gy C
learin
g Mad
e Ea
sy (S
inglet
on) 1
0:00
Magic
Wor
ds an
d Lan
guag
e Patt
erns
(Han
d-Ha
rper
) 2:00
Sp
orts
Hypn
osis
(King
) 2:00
Re
ality
is An
ything
You
Dec
ide It
Is! (H
older
) 2:00
W
orkin
g with
Tro
ubled
Tee
ns (
Andr
eas)
4:00
Serio
us H
elp fo
r You
r Clie
nts w
ith S
leep
Issue
s (Lo
cher
) 4:00
Hy
pnos
is for
Bre
ast C
ance
r (S
haw)
4:00
Mi
rror T
hera
pies a
nd M
irror
Neu
rons
(Stoc
kwell
-Nich
olas)
4:00
SA
TU
RD
AY
3 H
R W
OR
KSH
OPS
(sp
ecia
l pri
cing
app
lies)
$4
5 Se
lect
Ho
w to
Reve
rse a
Canc
er (C
hong
) 12:3
0
SU
ND
AY
2 H
R W
OR
KSH
OPS
$3
5 Se
lect
W
hat If
It’s J
ust a
Stor
y? (
Benn
ett) 1
0:00
Over
comi
ng F
ears
(Pap
adak
is) 1
0:00
How
to Co
nvinc
e a S
kepti
cal C
lient
(Pilla
i) 10:0
0
Me
nding
the P
ast, T
rans
formi
ng th
e Futu
re (A
uerb
ach)
10:00
W
orkin
g w/ M
edica
l Diag
nose
s and
the N
ew D
SM-V
(Ros
en) 2
:00
The T
hree
Doo
rs: A
Meta
phor
for T
reati
ng S
tress
& A
nxiet
y (Ma
u) 2
:00
Acing
Smo
king C
essa
tion (
Pelle
s) 2:
00
Hypn
other
apy f
or P
ain M
anag
emen
t (Ei
mer)
4:00
Wor
king w
/ Clie
nts w
/ Asp
erge
rs &
High
Fun
ction
ing A
utism
(Kim
mell
) 4:00
Me
ntor P
anel
FRE
E W
ORKS
HOP
4:00
Stra
tegies
for W
orkin
g w/ S
enior
s (Va
llei) 4
:00
Plac
ebo
Powe
r (Of
fer) 4
:00
Revis
iting t
he W
omb (
John
son)
4:00
Int
uitive
Mas
tery f
or H
ypno
tists
and H
ealer
s (W
ong)
4:00
SUN
DA
Y 3
HR
WO
RK
SHO
PS (
spec
ial p
rici
ng a
pplie
s)
$45
Sele
ct
Evolu
tiona
ry Tr
ance
(Wats
on) 2
:00
N
ET
WO
RK
ING
LU
NC
HE
ON
S
$25
Sele
ct
SAT
UR
DA
Y: J
ason
Line
tt - P
ushin
g the
Hyp
notic
Env
elope
SU
ND
AY
: Deb
bie La
ne -
For
get A
ffirma
tions
to M
ake t
he C
hang
e
Unde
cided
? P
AY N
OW -
CHOO
SE L
ATER
!! (
2hr w
orks
hops
) $3
5 Se
lect
(E
nter
qua
ntity
of d
esire
d wo
rksh
ops)
PRE
& P
OST
CO
NFE
RE
NC
E C
OU
RSE
S
9-6
DA
ILY
Sele
ct
5-Da
y T
rain
The T
raine
r (Bi
en) W
-Th-
F-M-
Tues
$1
,795
4-
Day
Par
ts Th
erap
y Tra
iner (
Hunte
r) W
-Th-
M-Tu
es
$995
2-
Day
Virtu
al Ba
nd P
racti
tione
r Tra
ining
(Gra
nger
) W-T
h $2
75
2-
Day
Clie
nt Ce
ntere
d Pa
rt Th
erap
y (Hu
nter)
W-T
h $2
75
2-
Day
Tell
ing S
tories
Tha
t Hea
l (Neil
l) W-T
h $2
75
2-
Day
Mov
ing F
rom
Scrip
ts to
Tran
sper
sona
l Ses
sions
(Gilb
ert)
W-T
h $2
75
2-
Day
Adv
Hyp
Indu
ction
& D
eepe
ning T
echn
iques
(And
rews
) M
-Tue
s $2
75
2-
Day
Intro
ducti
on to
the U
ltra D
epth
Proc
ess (
Alloc
co) )
M-T
ues
$275
2-Da
y Tr
ansc
endin
g Tec
hniqu
es (S
andla
nd) M
-Tue
s $2
75
1-
Day
How
to A
ttrac
t New
Clie
nts F
rom
the In
terne
t (No
ngar
d) F
ri $1
75
1-
Day
Integ
rativ
e Add
iction
s Solu
tions
: Rew
iring H
abits
(Tier
s) Fr
i $1
75
1-
Day
Adv
ance
d Mind
Con
trol S
ecre
ts (H
orton
) Fri
$175
1-Da
y T
he H
eart
of Er
ickso
nian H
ypno
sis (C
arso
n/Car
son/M
arion
) Fri
$175
1-Da
y N
LP fo
r Hyp
notis
ts an
d Hyp
nothe
rapis
ts (A
ndre
as/W
atson
) Mon
$1
75
1-
Day
Emp
ower
You
r Hyp
nosis
Bus
iness
with
Live
Talk
s (Lin
ett) M
on
$175
FUL
L C
ON
FER
EN
CE
INC
LU
DE
S:
�
48 F
REE
Lec
ture
s
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Day
s of S
hopp
ing:
Exh
ibit
Are
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iday
Eve
ning
Soc
ial
No-
host
Rec
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n w
ith c
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, ref
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men
ts &
ent
erta
inm
ent
� Sa
turd
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veni
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war
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Satu
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Eve
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Ent
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� C
ontin
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Edu
catio
n C
redi
t __
____
____
____
____
____
EL
EC
TIV
ES:
(A
dditi
onal
fee
appl
ies)
�
26 W
orks
hops
�
15 C
ours
es
� 2
Net
wor
king
Lun
cheo
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