Application

League Membership gives you:

1)  Additional Website presence.
2)  Subscription to Brainwave, the League's quarterly newsletter.  Each weighty issue carries an exclusive feature article and numerous alternative health updates.
3)  Impressive certificate of membership for display.

Requirements:

No fewer than 100 hours of instruction in holistic medicine or alternative health care therapy.

Please print out a copy for your completion and mail to the address below or email the same information to sheri@murcuri.net:

To: The National League of Medical Hypnotherapists and Holistic Practitioners
      22357 Welby Way, Woodland Hills, CA  91303-2466
      

Your name as it is to appear on your certificate: __________________________________________________

Your mailing address: ___________________________________________________________

______________________________________________________________________________

If you would like to be listed on the League web site, please indicate the geographical area where you practice, your practice name if other than your name, any specialty within medical hypnosis, your office phone number, your contact e-mail address, and your web site URL address if applicable.

Location: _____________________, Name of Practice: ___________________________________________,

Specialty: __________________________________________, Office Phone: _________________________

E-mail: ________________________, and your Web Site URL Address: _____________________________.

If you want your business address to appear on the web site listing, please enter it below:

_______________________________________________________________________________________.