Registration Form

You can print out this page, fill it in and mail or fax it to us. Or copy it into an email if you prefer. We'll send you a confirmation of your registration by email or postcard. You can also register by phone at (847) 677-7950.

Fax to: (847) 677-6950

Mail to: 7635 Tripp Ave, Skokie IL 60076

Email to: info@nlpchicago.com

Register me/us for:

Course title:

           Course Date(s):

           Tuition:

First Person:

Second Person:

Address:

City, State, and Zipcode:

Occupation:

Daytime telephone:

Evening phone:

Email address:

Payment by check payable to NLP Institute of Chicago

We accept Visa, MasterCard, Amex, and Discover:

     Card #:

     Expiration Date:

     Signature:

Today's date:

If you have questions, you can write them here and we'll get back to you, or call us at (847) 677-7950

.