Workshop Registration

TIR Institute of Maine

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Workshop Registration Please complete this form and submit it to the TIR Institute of Maine.

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Name *

First

Last

Address *

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City

State

Zip Code

Country

Email *

Phone Number *

Please SELECT your preferred WORKSHOP DATE(s) *

LSR ONLINE Workshop June 12, 13, 14 & 15, 2020 TIR ONLINE Workshop August 3-6, 2020 TIR ONLINE Workshop September 18-21, 2020 TIR Expanded Applications ONLINE Workshop October 16-19, 2020

PAYMENT SELECTION Check all that apply *

Any 4-day Workshop: Check or money order for $597 (regular price) Any 4-day Workshop: $547 if paid-in-full 30 days prior to workshop start date TIR for Children: $397 if paid in full 30 days prior to the start date of this 2-day workshop A combination of one or more workshops chosen by one or more persons registering at the same time (but each person must register separately), $100 discount for each workshop I will be paying by check or money order (Please submit to address below) I will be paying by credit card or PayPal (Please make selection below) OTHER Please explain below

Check all boxes that apply

Other Payment Information *

SUBMIT REGISTRATION FORM BY CLICKING HERE THEN CHOOSE PAYPAL OR CREDIT CARD PAYMENT BELOW

WORKSHOP PAYMENT

To send check or money order write out to: TIR Institute of Maine and send to:
TIR Institute of Maine
PO Box 2
Smithfield, ME 04978

Crown Cove Counseling office is located at 28 Merry Lane in Smithfield, Maine

OPTIONAL PAYMENT AMOUNTS

AMOUNT OF PAYMENT