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
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Phone Number
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Please SELECT your preferred WORKSHOP DATE(s)
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LSR Workshop November 22-25, 2019*
TIR Workshop January 24-27, 2020
TIR Expanded Applications Workshop February 21-24, 2020
LSR Workshop March 20-23, 2020
TIR Workshop April 24-27, 2020
TIR for Children May 11-12, 2020
PAYMENT SELECTION Check all that apply
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Any 4-day Workshop: Check or money order for $597 (regular price)
*November LSR Workshop only: $547 if paid in full by November 1, 2019
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)
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Other Payment Information
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SUBMIT and PRINT (to mail with payment)
OR
SUBMIT, CHOOSE WORKSHOP(s) AND PAY with PayPal or Credit Card BELOW
Please write out your check or money order to:
TIR Institute of Maine
and send to:
TIR Institute of Maine
PO Box 2
Smithfield, ME 04978
SUBMIT
WORKSHOP PAYMENT
TIR, LSR or TIREA $597.00 USD
TIR, LSR or TIREA when registering 30 days prior to workshop $547.00 USD
TIR, LSR or TIREA when registering for more than one workshop $497.00 USD
TIR FOR CHILDREN $397.00 USD
TIR FOR CHILDREN when registering 30 days prior to workshop $347.00 USD
TIR FOR CHILDREN when registering for more than one workshop $297.00 USD
Crown Cove Counseling office is located at 28 Merry Lane in Smithfield, Maine