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Training Institute

REGISTRATION
FORM


Call (404) 325-8512
with any questions.

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First Name
Last Name
Address 1
Address 2
City
State
Zip
Cell Phone
Office Phone
E-mail

CEU CATEGORY

Psychologist
LPC
LCSW
MFT
12 CE credits available: GA Psychologists
12 Core CE credits available: MFT, LPC, LCSW

 

Workshop

Sexually Compulsive and Addictive Behavior:
The Controversy, Diagnosis and Treatment.

 

Price

Early Bird, $370, through April 14, 2019

Regular Registration, $420, from April 15-May 27, 2019

Current Student/Trainee, $200, with proof of status (e.g. copy of student ID)

No on-site registration is available.

$420

$370

$200

 


 

 

E-Mail (prpti@bellsouth.net) or fax (404-325-8733) with proof of student status when you register.
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