THIS IS NOT AN ONLINE REGISTRATION FORM - FOR PRINT ONLY            Printed Date: 10/18/2019 10:30:46 PM

Seminar Title:
LGBTQ Youth: Clinical Strategies to Support Sexual Orientation and Gender Identity
Seminar Date:
Thursday, October 3, 2019
Seminar Location:
ELLICOTT CITY, MD 21042
Seminar ID:
74187

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$249.99 Single Registration
$219.99 2+ Group Rate: per person
$209.99 5+ Group Rate: per person
$125.00 Student
  ________ HI, NM attendees add applicable sales and local taxes**
  ________ Subtotal (Required items + sales tax)
 
  Magazine Subscription
 
$12.99 Psychotherapy Networker Magazine Subscription - 1 Year (Full Price $36.00)
 
  Optional
 
$29.99 LGBTQ+ Youth: A Guided Workbook to Support Sexual Orientation and Gender Identity
$16.95 The Gender Quest Workbook: A Guide for Teens and Young Adults Exploring Gender Identity
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NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY attendees add applicable sales and local taxes**
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  ** Tax-exempt customers please send a copy of your tax-exempt certificate.
  *** Registration for coordinator or military member discount must be completed online
  **** All prices are shown in US Dollars ****
 
 

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PESI Kids, P.O. Box 1000, Eau Claire, WI 54702-1000      (800) 554-9775 (fax number)