Personal Transformation Institute Form for Professional CEs- Group A
Please see our website, www.emdr-training.net and the FAQ section to see which CE's are covered.  
This must be completed prior to the first day of the training.  You must sign in and attend all days of training, arriving on time and leaving on time to receive credit.  No partial credit is given.  .  
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First Name *
Last Name *
Professional Title *
Address *
City *
State *
Zip *
Country *
License Info Type/number/state *
CEUs (Please put 40 for 6 Day Training) *
Email *
Phone *
Dates of Training *
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