Ottawa LSR-CP Workshop June 12-15, 2020 Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

LIFE STRESS REDUCTION AND CASE PLANNING (LSR+CP) WORKSHOP
Suzanne Duc Counselling Services, 150 Isabella Street, Suite 1209, Ottawa, Ontario
June 12-15, 2020, from 8:30 am to 4 pm

Trainer: Suzanne Duc, RP, MACP, Certified TIR and LSR Trainer and Facilitator
FEE: $950 + HST = $1,073.50
EARLY BIRD : $850 plus HST = $960.50 if registered and full payment received no later than May 12, 2020
HST #82653 7375 RT0001

Please note that there is a limited number of participants for this workshop. In order to have your spot confirmed, we must receive your full payment. If you are taking advantage of the early bird special, the full payment must be received at the latest on the day of the deadline for the early bird (May 12, 2020).

For any questions regarding the workshop or registration please call or email Suzanne Duc at 613-698-9707, suzanne@suzanneduccounselling.ca

METHODS OF PAYMENT:

CHEQUE Please send payments to: Suzanne Duc,
c/o Suzanne Duc Counselling Services, 150 Isabella Street, Suite 1209, Ottawa, ON K1S 1V7

E-TRANSFER Email: suzanne@suzanneduccounselling.ca
Text: 613-698-9707

CREDIT CARD Please contact Suzanne Duc via e-mail at suzanne@suzanneduccounselling.ca to arrange payment

Email *

FIRST NAME *

LAST NAME *

ADDRESS *

CITY *

PROVINCE *

POSTAL CODE *

PHONE NUMBER *

If you have any special needs, please help us serve you better by listing them here (i.e., wheelchair accessibility, etc.)

Please list any dietary allergies, intolerance (i.e., lactose intolerant, etc.), or any preferences you have regarding food or beverages.

DATE *

YYYY

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms