Request for Information/ Enrolment Form

Yes, I am interested in training in Transactional Analysis in Psychotherapy and would like further information.

(If you are interested in training in Transactional Analysis counselling or organisational specialities please contact one of the trainers.)
 

Name  
Address

 

 

  
Telephone  
Fax  
e-mail  

 

Print this form and send it to:

Dr Gordon Hewitt ,  30 Totara Street,  Eastbourne 5013

or fax to (04) 562 7101

or e-mail gordon@hewitt.gen.nz

To make a formal application, please include a curriculum vitae and the names and phone numbers of two people who know your work and are willing to be referees.

For further information ring:

Gordon on (04) 562 7101

or Geraldine on (04) 499 3541 #1

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