How to Build Better Relationships at Home & at Work
with Nadine Hanchar and Progressive Edge Plus NLP Inc. 

Order/Registration Form for Courses 

Registration:
First name:_______________________________________________________________
Last name:________________________________________________________________
Company:_________________________________ Title (profession):_____________
Mailing Address: _________________________________________________________
City:_________________________________ Province/State: ___________________
Postal Code/Zip Code:_______________________ Country: ____________________
Home Phone:__________________________ Work Phone:_________________________ 
Fax:________________________ Email:_______________________________________
My contact preference is:   |_| Mail   |_| Email   |_| Telephone   |_| Fax

Course Selection
Name of Course:___________________________________________________________
Course Dates:_____________________________________________________________
Location:_________________________________________________________________

Fees
Course Fee: $______________________
Shipping:   $______________________ (Home Study Course only - See note)
GST 7%:     $______________________ 
Total:      $ _____________________ (In Canadian Dollars): 

Note:  Shipping (for Home Study Course only) 
       Western Canada $20.00/Eastern Canada $30.00 
       Outside North America, please inquire. 

Payment Options:
|_| Canadian Dollar Money Order enclosed, OR
 
|_| Visa     
# |__|__|__|__|__|__|__|__|__|__|__|__|___|__|__|__| 
Expiry Date: _____/_____ 
Signature:__________________________________________

|_| Invoice Required   GST# R899765697R 

How to Order:
For fastest service, call and use your credit card (VISA), 
  Monday to Friday, 9am to 5pm, Pacific Standard Time 
  Toll Free North America: 1-800-449-4657 
  Outside North America: 1-250-384-1341
  In Victoria: 384-1341 OR 

fax: Fax this completed form, with your credit card information 
and signature to us at (250) 477-6993 OR 

mail: Mail this completed form with  your credit card information 
and signature or a Canadian dollar money order for the total amount to: 
  Progressive Edge Plus NLP Inc.
  2025 San Rafael Crescent
  Victoria, BC V8N 2H7 CANADA

Additional Information:
Please send me more information on: 
|_| NLP Home Study Program 
|_| NLP Practitioner Certification 
|_| NLP Master Practitioner Certification 
|_| Basic Counselling Practicum 
|_| Advanced Counselling Practicum  
|_| Custom Designed Business Courses 

How did you find out about this web site? ________________________________
__________________________________________________________________________