How did you
learn about the seminar? ____Brochure ____E-mail ____Personal Contact ____ Website
______ Risks &
Rewards of Working with Traumatized People, March 26, 2010 (6 CEUs)
Registration: 7:45 a.m. Seminar: 8:00 a.m. - 5:00 p.m.
(Lunch on your own)
Cost: $150. Workshop fee is
discounted to $99 (Student rate: $65) if registration is received on
or before March 12th. Registration fee includes
handouts and a self-test for compassion fatigue. Refund and Cancellation Policy: A minimum
number of participants must be registered before March 12th or the workshop will be
cancelled on that date. There will be no refund unless the workshop
is cancelled and only those registered by that date will be exempt
from this policy.
Payment method: ______ check
______ credit card (Payable in US dollars)
Charge to: _____ MasterCard
_____ Visa Amount: $___________
Card # ________________________________ Expiration date:
_______/_______
Name on card:________________________________________________________
Cardholder signature:_________________________________________________
Fax
with credit card information to
405-691-0452 or mail
form with
check made payable to:
Oklahoma
Traumatology Institute
3037 N.W.
63rd St., Suite 150
Oklahoma
City, OK 73116
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