(973) 770-3600 Fax: (603) 297-2949

www.PureNLP.com

Licensed Practitioner of NLP™ - Licensed Master Practitioner of NLP™

Charisma Enhancement®*

*Due to the current impact of CoronaVirus, these programs will not be held in July as planned. We will
reschedule to August or September. We will notify you soon with new dates. You can still pre-register and save
your place. You will not be charged until you confirm the new dates are ok for you.

Hello Gladys,

Because you want to attend the ​NLP Practitioner, NLP Master Practitioner Program ​and/or ​Charisma Enhancement® ​(NLP Trainer
Training) here is your application form to send back promptly to us here at the NLP Seminars Group International.

We have always been and remain at the very forefront of new technologies and we include examples of music, sales magic, laughter, energy and
powerful persuasion and communication tools to change the way you run your brain, your business and enjoy your life. We will take you to the
very edge of the envelope as we combine the cutting edge models from the basics to the most recent developments of Richard Bandler.

We use the fullest possible range of choices to enhance the lives of others and to make this a seminar program to remember. One of the resources
to be sure to have is a sense of humor and an open mind. We actually discourage anyone of a serious disposition or lacking a sense of humor.
These programs are not for the thin-skinned and contain adult language. These programs are NOT for therapy. If you require therapy, we
encourage you to see your local therapist. These are educational programs. Knowing this, you can learn many wonderful things. These seminars
are designed to take a new approach to doing what you do. Isn’t that one of the reasons you have decided to take this training? Come and learn
new and powerful tools to keep ahead of the competition and increase the satisfaction of your clients.

We have been developing this training for quite a few years now and have finally been able to offer it in a format which will enable you to learn all
of the basics and added applications. Many people today want to learn the basics for themselves, their friends and families. Some want to apply
these skills in business, some want to apply them in a changework setting and some want to apply them to bodywork! So ​WE OFFER ALL 3!

Both the Practitioner and Master Practitioner programs come with your choice of either the Business Applications module, the NLP
ChangeWork Module, or the Bodywork Physiology Module. Our experience is that many people have attended different NLP programs and
their skills and application are incomplete. Isn't it time to put it all together? Come learn it from us! We expect other Trainers as participants, as
well!!

Your trainers for the program are Dr. Richard Bandler, John & Kathleen La Valle. The application module day will include experts in their fields,
Elvis Keith Lester and Dr. Edie Perry, all of whom have been training for many years now, all licensed and recommended by Richard Bandler.

There will be another fantastic 6 days after these programs with: Charisma Enhancement®, and NLP Trainer Training.
We have included a logistics information sheet for you to keep. ​Please call or email me at KLaValle@purenlp.com if you have any questions
and please return the attached application as soon as possible for processing.

Thanks, again, ​Gladys​, and we look toward the future with you!

Kathleen S. La Valle
Program Director

PS. ​Please note the early bird registration date of July 15, 2020. The response is great, so ​we urge you
to PRE-REGISTER TODAY!! Please note there are certain restrictions for Charisma Enhancement®
based on seating availability. P ​ lease either fax or send the application as a pdf by email to
Pre-Register Quickly!
Name​ Gladys Britos ​Customer Number ​CUST-BRIT-41341

Street Address​897 Fording Island Rd Apt 2608

City​ Bluffton ​State​ SC ​Zip​ 29910-8821

Country​ United States

Home Phone ​ ​Business Phone​ 8435406004

Fax

Email​ gladys2462@hotmail.com

Company Name

Name Tag Name​ Gladys Britos

Seminar (check seminar):

_____​Licensed Practitioner - TBD​ - $3,500usd ($3,200 registered before July 15, 2020)
Includes one, please check your choice:: (descriptions on following page)

____Business Applications Module™ ____NLP ChangeWork Module™ ____NLP BodyWork Module™

_____​Licensed Master Practitioner -​ TBD - $3,500usd ($3,200 registered before July 15, 2020)
Includes one, please check your choice: (descriptions on following page)

____Business Applications Module™ ____NLP ChangeWork Module™ ____NLP BodyWork Module™

_____​Charisma Enhancement® (Trainer Training)​ - TBD $4,200usd ($3,800 registered before July 15, 2020)

Payment (check one):

_____ Check _____ Wire Transfer _____ Money Order (US funds) _____ Cash ____ Amex ____ Visa/Master Card
***No checks will be accepted after July 15, 2020, Checks must be drawn in US funds.
Please charge my credit card for the above checked seminars. I understand that early bird price applies when this completed application is
received before the deadline date. ​NOTHING WILL BE CHARGED UNTIL YOU CONFIRM THE NEW DATES ARE OK FOR YOU.

Credit Card # _________________________________________

Credit Card Verification Number _________________________
3 digits at end on back of Visa/Master, 4 digits on front of Amex)

Expiration Date _______________________________________ Signature ____________________________________________

NOTE:​ ​Tuition is refundable up until fourteen (14) days before the start of the program only if proper notification is given, less a
non-refundable registration fee of $350.00. No refunds after this time.
In the unlikely event that any seminar is cancelled for any reason whatsoever by us, paid tuition will be refunded. In the event that either John or Richard is unable
to conduct training, we reserve the right to make substitutions at our sole discretion.
Anything in our ads are subject to change. Participants are solely responsible for all travel arrangements and expenses.
Training manuals are supplied for each program at the start of that program.
Neuro-Linguistic Programming, Design Human Engineering®, Neuro-Hypnotic Repatterning® are licensed technologies. Some programs require a license agreement
signed and photos taken prior to program start. All programs require a general release.
Pure NLP®, Persuasion Engineering®, Design Human Engineering®, and Charisma Enhancement®, Neuro-Hypnotic Repatterning® are registered
trademarks of John La Valle's.
 Acceptance is at our sole discretion and we reserve the sole right to refuse service and/or admission to anyone without prejudice and for any reason whatsoever
and at any time. These are all educational seminars and are not meant for therapy. For those seeking therapy, we encourage you to see your local therapist or
other qualified service in your area.
These seminars may contain adult language. There is no audio or video recording/taping allowed. All electronic devices are required to
be turned off in the seminar room, including phones and laptops. All performances are protected under U.S. and international copyright law.
Thank You.

Please answer the questions below to the best of your ability:

1.​ W
​ hat is your current occupation?

2.​ W
​ hat would you like to be able to do differently by doing this training?

3.​ I​ s there anything that can stop you from doing this?

4.​ W
​ hat is your greatest personal strength?

5.​ H
​ ow did you find out about the seminar?

6.​ W
​ hat other experiences do you have with the NLP technology?

7.​ A
​ re you currently certified in NLP or DHE® at any level? If so, with whom have you trained, when, and
at what level? Be sure to include any and all Practitioner, Master Practitioner, Trainer and Master Trainer
certifications. Use an additional sheet of paper if you need more space.

8.​ D
​ o you have an open mind and a sense of humor?

9.​ ​Do you know anyone who needs or wants to hear about this seminar? (Please fill in their name, address and phone number and
we will send them an information packet.)

Congratulations!
By taking the time to answer these questions, you have moved even closer to your goals and increased the amount of satisfaction you will receive
from this program. You have set yourself apart from the majority of the population who do not take the time to think and write out their goals,
strengths and developmental opportunities and then take action on fulfilling them. You have already begun the process of becoming more effective in
business, sales, negotiations, presenting and guaranteeing more success for Yourself!
 NLP™ Seminars Group International
P.O. Box 424 Hopatcong, NJ 07843 (voice) +1 973-770-3600 (fax): +1 603-297-2949

Practitioner & Master Practitioner Courses

Our programs are unlike any other. You may have noticed that both the Practitioner and Master Practitioner programs run
concurrently. This is because you can really only do one at a time. Our experience also says that you are much better off practicing
your Practitioner skills before going on to a Master Practitioner program. While we know there are others who encourage you to go
from one to the other immediately, this really is not in your best interest.

In order to participate in the Master Practitioner program, we require a copy of your Practitioner certificate with your application
form, no exceptions.

In our programs, there will be times when both classes are together and times when the Practitioner group will be in a different
room, as will the Master Practitioner group. Both groups will be trained by Dr Bandler every day.

Our programs offer three different certifications. There are 8 days of basic skills plus 1 day for learning to apply your skills in the
application you choose. These are:

Licensed Business Practitioner of NLP™ (or Master Practitioner) ​- the Business Applications Module is for those
participants who are primarily in a business environment and want to apply their skills in business, rather than a changework or therapeutic
setting. We will cover a variety of applications in sales, marketing, teambuilding, customer service, communication skills as well as any requests
from the group.

Licensed Practitioner of NLP™ (or Master Practitioner) ​- The NLP Changework Module is an opportunity for you to
practice intensively and experience firsthand key NLP changework techniques and to establish a system from which to apply NLP technologies
for evolutionary and generative change. In this module several models will come to life as you learn to apply what you have learned in the basics
days. This module is a must for those of you who desire “to put it all together” and become an agent of systematic change utilizing the power of
NLP and Trance. We will provide you with a path to mastery of NLP like no other and an experience you will long remember.

Licensed Practitioner of Neuro-Linguistic Programming® with Body Work™ (or Master Practitioner )
- The NLP BodyWork Module™ - ​Physical Hypnosis -​ learn to physically change your brain and learn to read how well someone's brain areas are
functioning by noticing submodality expressions physically and cybernetically. As areas of brain hardware improve the way they work, then the
software programming runs differently. Patterns of Physical Transformation™ (PPT) is tuning up the functioning of both brain and body.
Improving that calibration is the key to health and vitality. If you are a physical therapist, body worker, chiropractor, etc.this is the module for
you.

What Would You Do If Only ​YOU​ Could?

Come Learn How:

Your Brain Works Faster Than You Think®

 Licensing and Certification for Licensed Trainer of NLP™ and Charisma Enhancement®

Due to the popularity of this program and the nature of the program, we have had to adopt some new criteria for the registration process for this
seminar. Because many people travel internationally to this program, enrollment priority is given accordingly:

The applicant must have both his/her Licensed Practitioner™ and Licensed Master Practitioner of NLP™ certifications from the Society of NLP™
- Richard Bandler with Richard Bandler's signature.

If you do not meet one of these criteria points, then your application may be put on hold until a month or so before the seminar. At that time you
will be notified if there is room for you in the seminar. This will still allow you to make your travel plans a month in advance and still be
eligible for discounts on airfare and such.

After that, priority will be given to those with one certification that meets the criteria and the order in which the applications came in. So if you
are serious about attending this program please return the application right away whether you meet both criteria or not. It is the only way to
insure that those who have trained with Richard and the Institutes under him can get their Trainer's training certification.

Past Certificates
We require copies of BOTH your NLP Practitioner and NLP Master Practitioner certificates, regardless of whom you may have trained with. A
photocopy is acceptable as long as the seal and signatures are readable. These copies MUST accompany this application. No exceptions.

Level of Certification
To be certified as a:
Specializing in NLP Presentation Skills​ - you must show a basic understanding and demonstration of the course material

Licensed Provisional Trainer​ -you must have a Licensed Practitioner and Licensed Master Practitioner certification from a "Society of NLP -
Richard Bandler" Institute with Richard Bandler's signature and seal and show a good understanding and demonstration of the course material.
You must also submit with your application a course outline of the course(s) you​ p​ lan to conduct.

Licensed Trainer​ - to be considered, you must have successfully completed the Trainer Training (Charisma Enhancement®) with Richard
Bandler. Next, submit your advertising to John La Valle, The Society of NLP™ - Richard Bandler ​before ​your first training. Upon approval,
conduct your first training, submit a short video of your presentation and submit all your participants for certification, if a Licensed Practitioner
of NLP™ program.

Licensing Agreements
By now we are sure that you are familiar with the process of signing Licensing Agreements. You will need to sign licensing agreements in order
to be licensed and certified. Please decide which level of certification you would ideally like to achieve. Based on your application and
supporting materials, your paperwork will be ready for you at the registration desk prior to the start of the program.

Please complete the next check sheet and submit this with your completed application. Incomplete applications will not be accepted.

We look forward to sharing a magickal experience with you in Orlando! Thanks.

 Registration Checklist
Please Complete and Submit this Sheet with Your Application

Congratulations! You have already begun to gain more success and more happiness by filling out this application, so
let us make sure you complete the process and reserve your place now! Delays in processing may move you to the
end of the list. Please use this checklist and include it with your application!

_____I made sure that my name, address, phone number and email address on the application is complete and correct.

_____I checked to see if the "name tag" name is the one I want during the seminar.

_____I have selected the seminars I am attending by checking the appropriate boxes including a module
selection where applicable.

_____I have selected the box for the form of payment.

_____For Credit card users: ​I have printed clearly my credit card number and expiration date. And entered the CVV
code for the card. (Three digits for MC/V/Disc, four digits for Amex)

_____I have made sure the expiration date is good through at least September 2020.

_____I have answered the questions on the form to begin planning all the good things I will gain from these seminars.

_____I have included a copy of my Practitioner Certificate (When applying for the Master Practitioner course).

Important Addition For T​ rainer's Training Applications

_____I have checked off the above boxes.

_____I plan on conducting NLP trainings and seminars as a Licensed Provisional Trainer of NLP™.

_____I do not plan on conducting NLP trainings or seminars and am only interested in the
platform/presentation skills. (Attendance will be based on seat availability for this option).

For Those Applying for Licensed Provisional Trainer of NLP™

_____I​ have enclosed the copies of both my Licensed Practitioner and Licensed Master Practitioner certificates.

_____I have included the synopsis (outline and agenda) of a future course I want to conduct. This is required with
application if applying for Licensed Provisional Trainer of NLP™ Outline will show the list of subjects for each day
of the program, in the order it will be taught.
 Logistical Information
Keep This Page for Your Information
Licensed Practitioner of NLP™ $3,200 before - $3,500 After July 15th
TBD (9 day program) Save $300!
Registration begins at 9:00 a.m. Sat. July 11, 2020, Includes one module
(Program begins, Saturday, July 11, 2020 at 10:30 a.m.
continues through to Sunday, July 19, 2020)
Start times are 10:00 a.m. on the other days.

Licensed Master Practitioner of NLP™​ ​ ​$3,200 before - $3,500 After July 15th
TBD (9 day program) Save $300!
Registration begins at 9:00 a.m. Sat. July 11, 2020, ​Includes one module
(Program begins, Saturday, July 11, 2020 at 10:30 a.m.
continues through to Sunday, July 19, 2020)
Start times are 10:00 a.m. on the other days.

Charisma Enhancement® ​$3,800 before - $4,200 After July 15th

Trainer Training Save $400!

TBD (6 days)
Registration begins at 9:00 a.m. Tuesday,
Program starts at 10:30 a.m on the first day and continues through to Sunday on the last day.
Start times are 10:00 a.m. on the other days.

*End times for each day will vary depending on the group and the information. The last day of each
program is usually over before 5:00 p.m. Other days may run till 8-10 p.m. on select evenings.
Place for seminars:
Four Points Orlando Studio City
5905 International Drive
Orlando, FL 32819
voice: 1-407-351-2100
fax: 1-407-352-8028
We strongly recommend contacting Frank Marino (below) and NOT the hotel directly to insure you get our special group rates.
If you need assistance with any of your other travel plans, we have arranged for you to be assisted* by:

Global Event
Planners Frank
Marino
+1-516-874-6783
email: fmarino@globaleventplanners.net

Global Event Planners often can obtain discounted rates on airfare & hotels because of their volume. Please state that you
are attending the NLP Seminars Group Seminars.

Four Points Orlando Studio City rates will go up after May 15th so register early to enjoy our early registration discounts and special rates at the
Sheraton and take advantage of the comfort of staying on-site during these events!

*​NOTE: NLP™ Seminars Group International is in no way responsible for any travel arrangements or expens​es.

Voice: (973) 770-3600
Thank You!
NLP Seminars Group International
PO Box 424
Hopatcong, NJ 07843
Fax: (603) 297-2949 Toll Free (in USA) 800-PureNLP™