Charles Faulkner


	BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

	BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

		BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

	BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

	BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

		BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

		BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

	BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

		BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

	BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

	BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

				BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

			BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

CHARLES FAULKNER

Booking Form

Please print, then complete and post this application form with your cheque made payable to BSMDH (Scotland), and return it prior to Wednesday 21st January 2009 to:

Angela Samson, Office Secretary BSMDH (Scotland), C/o 14 Polsons Crescent, Paisley PA2 6AX

(Please complete in BLOCK CAPITALS)

Full Name with Title: ____________________________________ Medical Dental (Please circle)

Other Please state ………….

Full Postal Address: ___________________________________________________________________

_____________________________________________ Post Code: _________________________

Telephone: ________________________________

Email: ___________________________________

Please indicate your preference of the choices offered below by placing a tick in the appropriate box.

The Society has secured accommodation at preferential rates and will be allocated on a first come first served basis.

Bookings received after the closing date could possibly be subject to a higher tariff.

Full Weekend Package

£350

Meetings Only and Dinner

£250

Meetings Only

£230

For Office Use Only:

Booking Form Rec’d	Fee Rec’d	Fee to Treasurer	Form Acknowledged


	“The British Society of Medical & Dental Hypnosis (Scotland)”is the trading name of “The BSMDH (Scotland)”, a Company Limited by Guarantee, Company No. SC321018, Registered in Scotland, Registered Scottish Charity No. SC002536 Registered Office: Suite 37 – 39, Central Chambers, 93 Hope Street, Glasgow, G2 6LD Tel.0141-229-0222, E-mail: mail@bsmdh-scot.com