Rob McNeilly
MBBS
Gabrielle Peacock
MBBS FRACGP
Registration:
Name
Occupation
Address
Postcode
Phone [h] [w] email
Please indicate:-
Location
Melbourne / Hobart / Sydney / Brisbane / Distance / …………….Programme
Diploma of Solution Oriented HypnosisAdvanced Diploma of Solution Oriented Hypnosis
Diploma of Solution Oriented Counselling
Advanced Diploma of Solution Oriented Counselling
Diploma of Solution Oriented Family Therapy
Solution Oriented Family Therapy - a 3 day intensive
Ericksonian Hypnosis - a 3 day intensive
Solution Oriented Counselling - a 2 / 3 day intensive
The Essential Therapist
Other ………………………………………..
Payment enclosed [all fees include 10% GST]
Cheque / BankCard / Mastercard / Visa for $..........................
Please make cheques payable to Rob McNeilly
direct deposit to BSB 807-009 a/c 1232-0721 Dr Robert McNeilly
Name on card ……………………………………………………..
Card number ……………………………………… exp .… / ….
Signature …………………………………………………………..
please post to
336 Elizabeth Street
North Hobart TAS 7000