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MAIL COMPLETED REGISTRATION TO:
Willow Brook Psychotherapy Services
ATT: Mary Gallagher, Ph.D.
115 East Churchville Road
Bel Air, Maryland 21014
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WILLOW BROOK PSYCHOTHERAPY
SERVICES PRESENTS
SHORT-TERM THERAPY USING
ENERGY PSYCHOLOGY AND ESSENTIAL OILS
with Arlene Anisman, B.A., M.Ed., CCA
JULY 25-26, 2008
LOCATION:
The Conference Center at Sheppard Pratt
6501 N. Charles Street, Room 30
Baltimore, Maryland 21285-6815
CANCELLATION POLICY:
With written notification up to fourteen (14) days prior to the workshop, a full refund will be made, minus a $50 processing fee.
For cancellation less than fourteen (14) days prior to the workshop, or a lack of attendance, no refund will be made.
REGISTRATION FORM:
| Sign up for: |
Reg. Fee |
Early Bird by
07/15/2008 |
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BOTH Days |
$250.00 |
$225.00 |
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Day ONE Only |
$150.00 |
$125.00 |
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Day TWO Only |
$150.00 |
$125.00 |
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Total: |
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| Discipline: |
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Social Work |
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Psychologist |
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Other: |
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| Method of Payment: |
| Made out to: Willow Brook Psychotherapy Services |
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Check |
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Money Order |
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