The National Board of Professional and Ethical Standards : Hypnosis, Hypnotherapy, Forensics, NLP, Anodyne Medical, Psychology, & Continuing Education
The National Board of Professional and Ethical Standards : Hypnosis, Hypnotherapy, Forensics, NLP, Anodyne Medical, Psychology, & Continuing Education
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Membership Application

Please complete the following sections to apply or renew your membership with the national Board.

First Name
Last Name
Address
City
State   Zip
Country   Phone
E-Mail Address

Every applicant for Registration/Certification by the National Board of Professional & Ethical Standards shall submit evidence satisfactory to N.B.P.E.S. that he or she meets at least one of the following requirements:

1. Applicant is a graduate of an approved school or training course in hypnosis / hypnotheraphy. Copy of diploma or other proof of graduation required.
Name of School:
Address:
Dates Attended: to
2.Applicant has successfully maintained a private or group practice in hypnosis / hypnotherapy for a period of three (3) years.
Name of Practice:
Address:
Dates Attended: to
3.Applicant passes such examination as may be prescribed or approved by the N.B.P.E.S. (Those electing to meet this qualification should contact our office for further information).

Membership

When you are a member of our organization (NBPES) you are automatically a member of all five organizations at no additional cost.

Membership Term

Applicants must send in their application with the prescribed membership dues for their choice of membership term. If application is not accepted for any reason, fees will be refunded in full minus the back ground check. Please choose one of the below options.

$ 85.00 first year Registration / Certification
$ 95.00 this includes an additional (PBH) certificate
$135.00 for 2 year Registration / Certification
$155.00 for 2 years with both (PBH) and NBPES certificate
$10.00 for The Professional Board (PBH) members only
$500.00 for a lifetime membership
$65.00 annual renewal fee (Must have completed 8 hours of continuing education or an approved course within the last 12 months.)
$75.00 annual renewal and both certificates

Payment Information

If you are paying by check please print out this completed form and mail along with your payment to: NBPES (The National Board of Professional and Ethical Standards...), Registration Division, Mailing Address: 2113 Citrus Blvd Suite A Leesburg, FL 34748

If paying by Credit Card Please Choose One:

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Credit Card Number
Expiration Date
Security Code (3 digits - on back of card)
Click here for more details
Name On Credit Card

By proceeding to submit this form, the undersigned hereby certifies that the information provided is true and that he or she does not have a criminal record (and agrees to be screened for such). It is agreed and understood that your membership will automatically be renewed and charged unless cancelled in writing by either party. The undersigned also agrees to utilize hypnosis only in the areas of his or her expertise and in accordance with applicable law, to maintain the highest ethical and professional standards as well as those issued by the National Board of Professional and Ethical Standards..., and to keep the interest and welfare of those who seek his or her help above all other considerations.

 

         
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