Intensive theory and Practical skills training in REBT
Fill this form to register for the REBT workshop at New Delhi, Mumbai and Indore
For details visit www.morphicminds.com 
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Your name *
As you would like it on the certificate
Address *
Educational qualification *
Your profession *
Are you practicing psychotherapy or psychiatry currently? *
Have you undergone any other practical training in counseling/psychotherapy before? *
If yes, please mention the nature and duration of training.
Your expectations from the workshop
Your email *
Your phone number *
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Payment
After you have registered for the workshop, you will receive a confirmation email with details about the account number. Please be patient as this may take some time.

You can transfer money online or deposit it from any bank. Kindly preserve the transaction ID/ scanned copy of the receipt of your payment without which we cannot trace your payment and it will be void. Your seat will be reserved on receipt of payment.
You can email at shishirpal@gmail.com if you have any queries.
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