Workshop Registration

TIR Institute of Maine

Home
About TIR
Workshops
Workshop Registration
About Us
Contact Us
What Others Are Saying
Group Co-Facilitation & Training Sessions

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

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Please SELECT your preferred WORKSHOP DATE(s) *

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 *

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) OTHER Please explain below

Check all boxes that apply

Other Payment Information *

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

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