EEG Info Neurofeedback Certification

Registration Form

I do sign up bindingly for the certification:

Title: *

First name: *

Last name: *

Street, no. : *

Zip/postal code: *

City: *

Country: *

E-Mail: *

Phone number: *

Profession:

Company/practice/clinic:

Position:

You have to be an EEG Info premium member to sign up for the certification.

Are you already a premium member: *

Yes

Courses already attended at EEG Info:

Certification program: *

Yes, I bindingly sign up for the certification program.

Terms & Conditions: *

Yes, I have read the Terms & Conditions and accept them.

Please fill out all fields marked with a *.
You will receive a copy of your registration to the indicated e-mail address.