THIS IS NOT AN ONLINE REGISTRATION FORM - FOR PRINT ONLY            Printed Date: 3/28/2024 11:04:30 AM

Seminar Title:
2-Day: Advanced Dialectical Behavior Therapy (DBT) Certificate Course
Seminar Date:
Thursday, August 8, 2019
Seminar Location:
HONOLULU, HI 96815
Seminar ID:
72596

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$439.99 Single Registration
$399.99 2+ Group Rate: per person
$389.99 5+ Group Rate: per person
$220.00 Student
  ________ HI, NM attendees add applicable sales and local taxes**
  ________ Subtotal (Required items + sales tax)
 
  Magazine Subscription
 
$12.99 Psychotherapy Networker Magazine Subscription - 1 Year (Full Price $36.00)
 
  Optional
 
$29.99 Dialectical Behavior Therapy, Vol 1, 2nd Edition: The Clinician’s Guidebook for Acquiring Competency in DBT
$34.99 Dialectical Behavior Therapy, Vol II, 2nd Edition: More than 275 Worksheets, Activities & Games for Acquiring Competency in DBT
$34.99 The Expanded Dialectical Behavior Therapy Skills Training Manual, DBT for Self-Help and Individual & Group Treatment Settings, 2nd Edition
  ________ AL, AR, AZ, CA, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NJ,
NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY attendees add applicable sales and local taxes**
  ________ Subtotal (Magazines + Optional items + sales tax)
   
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  ** Tax-exempt customers please send a copy of your tax-exempt certificate.
  *** Registration for coordinator or military member discount must be completed online
  **** All prices are shown in US Dollars ****
 
 

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PESI Rehab, P.O. Box 1000, Eau Claire, WI 54702-1000      (800) 554-9775 (fax number)