GIL BOYNE
10 DAY – 100 HOUR COURSE

REGISTER BY PHONE OR FAX WITH YOUR CREDITCARD

Name __________________________________________

Address ________________________________________

City, State ________________________________________

Zip __________ Day Phone ____________________

WHEN: Part 1 – May 24 - 28 and Part 2 – May 31 - June 4, 2004
                  8:30 a.m. to 6:30 p.m.

WHERE: Hypnotherapy Academy of America
                      509 Camino de Los Marquez, #1
                      Santa Fe, NM 87501

DETAILS: http://www.gil-boyne.com

TUITION: $1995.00 If paid in full by April 15, 2004
                           or $2250.00 After April 15, 2004
                           Includes course materials.

COURSE MATERIALS: Four videotapes plus
                                                      Highlights from fifty hour training course on audio tape
                                                      Plus complete course manual (100 pages)
                                                      $335.00 Retail Value

PAYMENT METHOD:

__ Enclosed is a check payable to Gil Boyne.

__ Please charge my __ Am. Express __ MasterCard __ Visa

Card # _______________________________ Exp. Date_________

Signature _______________________________________________

SEND THIS FORM WITH YOUR PAYMENT TO:
Hypnotism Training Institute of Los Angeles
700 S. Central Avenue • Glendale, CA 91204
(818) 242-1159 Tel • (818) 247-9379 Fax

REGISTER BY PHONE OR FAX WITH YOUR CREDITCARD