Thank you in advance for registering for the seminar/training.
Please complete the following form with as much information as possible.
It is our hope to know you better and serve you better.
Training cost: $300
10 CEUs for LMFT, LPC, LCSW, and LCDC.
If you would rather… scan this paper form then send this Registration Form to:
Libby Fischer-Osborne, email@example.com, or fax to 214-630-6049
Or mail to: Libby Fischer-Osborne, 6750 Hillcrest Plaza Road, Suite 304, Dallas, Texas 75230
I look forward to meeting you.