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National Guild of Hypnotists

South Sound – Washington Chapter

Welcome to the South Sound Chapter of the National Guild of Hypnotists!

Please complete the following information, and return this page by e-mail to our Secretary and website Referral Page Manager (Howard Batie: hbatie@localaccess.com  ), and to our Webmaster (Pat Sonnenstuhl: cnmpat@comcast.com).  Please PRINT all information.  Thanks!

Name_____________________________________________________________________

Home Address_____________________________________________________________

City, State, ZIP_____________________________________________________________

Home Phone:_____________________________   Cell:____________________________

Personal e-mail_____________________________________________________________

Name of your business______________________________________________________

Business Address__________________________________________________________

City, State, ZIP_____________________________________________________________

Business Phone__________________________   Bus. Fax_________________________

Business e-mail____________________________________________________________

Business Website__________________________________________________________

Please list all modalities you offer (e.g., Specializations in Hypnotherapy, Coaching, Reiki, Reiki Initiations, Massage (list specific types), Cranio-Sacral, Counseling (list specific types, Nutritional Supplements, etc.)___________________________________________________________________________

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Please list all of the types of workshops or classes you provide:___________________________________________________________________

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