Asia Mind Dynamics - Registration Form

Asia Mind Dynamics Sdn Bhd Participant Registration Form

Thank you for registering for a training by Asia Mind Dynamics

It is our objective that participants really meet their own individual training objectives. This is why we keep the number of participants small, to allow for personalised experiences.

Please fill out the information below. We will then contact you shortly to advise you on our bank account details. We can only guarantee a seat once 50% of your payment has been received and confirmed by us!

* First Name

* Last Name

Title

* Organization

* Address 1

Address 2

* City

* State

* Postal Code

* Mobile Phone

Fax

* Email Address

Include my contact information into your mailing list

Yes

* Public Training Courses

NLP Certified Practitioner Course/ Certified Timeline Therapy (TM) Techniques: February 12-15, 20-22, 27-28, March 1 2009

NLP Certified Practitioner Course/ Certified Timeline Therapy (TM) Techniques: April 2-5, April 10-12, April 17-19

NLP Certified Practitioner Course/ Certified Timeline Therapy (TM) Techniques: May 14-17, May 22-24, May 29-31

NLP Certified Practitioner Course/ Certified Timeline Therapy (TM) Techniques: July 9-12, July 17-19, July 24-26

Are you interested in any other form of training?

Did you attend similar trainings before?

Yes

If you attended, what did you most like?

If you attended, what did you least like?

* Indicates Response Required