9TH WORLD CONGRESS OF ECLECTIC HYPNOTHERAPY IN PSYCHOLOGY, PSYCHIATRY AND MEDICINE AND 10TH INTERNATIONAL CONGRESS ON INTEGRATIVE AND ECLECTIC PSYCHOTHERAPY

REGISTRATION FORM

9TH WORLD CONGRESS OF ECLECTIC HYPNOTHERAPY IN PSYCHOLOGY, PSYCHIATRY AND MEDICINE
AND
10TH INTERNATIONAL CONGRESS ON INTEGRATIVE AND ECLECTIC PSYCHOTHERAPY

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NAME
ADDRESS
CITY
ZIP CODE
COUNTRY
TELEPHONE
FAX
EMAIL
Comments
PAYMENT METHOD
Certified Check by mail:
Bank Deposit (in México)
Bank: Bital Suc. 1128 Matamoros, Tamaulipas, México	Account Number 6059734962 (PESOS) M.N. 7001201482 (DOLLARS) U.S.
Please send a copy of your BANK DEPOSITE TO: Fax: +(956) 544-6681, (956) 544-6383
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For more information The World Association of Eclectic Hypnotherapists P.O. Box 1112 Brownsville, Texas 78526-1112, U.S.A. Tel: (956)544-6383 Fax: (956) 544-6681 email:eoowaeh@yahoo.com

HOTEL RESERVATIONS

NAME

DATE OF ARRIVAL

DATE OF DEPARTURE

NUMBER OF PERSONS

PAYMENT

TELEPHONE OR FAX

EMAIL

Comments

WAEH is holding a block of rooms with a reservation deadline date of March 30, 2003. As hotel accommodations are at a premium in Morelia during this frame, please forward your accomodation request prior to the dead line. When completing reservetions refer to the WAEH forum room block.

Please complete and return form to
SRTA. YURITZI CONTRERAS FIGUEROA, Ejecutiva de Ventas, Hotel Fiesta Inn, Av. Ventura Puentes esq. Av. Camelinas, C.P. 58070 Morelia, Michoacán, México.
Email:clobato@fiestainn.com.mx

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