PSYCHOTHERAPISTS, COUNSELORS AND THE COURTS

George Ignatieff Theatre, Trinity College, University of Toronto, 15 Devonshire Place

November 2, 2003: 9:00 am - 4:30 pm

Seminar Fee: $140.00 + 9.80 (GST) = $149.80

  
 
 
 
            Print and fill out this registration form and mail to:
Psychotherapy Services
344 Dupont Street, #401
Toronto, Ontario M5R 1V9
REGISTRATION FORM
Name:
Address:
Phone:              
E-mail:              
           
Payment Method (circle one):          
 
    Cheque            Money Order            Visa            Mastercard             
               
Card Number:   Expiry Date:          
Cardholder's Name:              
Amount Authorized:              
Authorized Signature:              
               
 
  (Please make cheque or money order payable to Psychotherapy Services)  
     
     
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