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QUESTIONS?

Contact Veronica Russell, Registration Coordinator
Phone:
+1 (403) 209-0242 ext. 10
E-mail: Applications

Training for Session Leaders

Open to public graduates of the two-day ASIST workshop or equivalent.
(LivingWorks trainers please note this registration form is for public registrants. Please see your trainer site for registration.)

May 12, 2010
Doubletree Castle Hotel - Orlando, Florida, USA

Registration fee (includes materials): $250 USD (A savings of up to $100 on the material alone. Canadian and International registrants will be charged in $CAD exchange at time of registration.)

Register now - limited space available

Online: Use the form below (* indicates required flelds)
E-mail: applications@livingworks.net
Phone: +1 (403) 209-0242 ext. 10
Fax or Mail: Fill in form below and print. Fax to (403) 209-0259, or mail to LivingWorks Education, 4303D 11 Street SE, Calgary Alberta Canada T2G 4X1.

We will confirm your registration within 48 hours of receipt.

*Name:   (in full as it should appear on your name badge)
Organization:   Title:
Address:     City:
Prov/State:  
Postal/Zip Code:
Country/Region:   *Phone (with area code):
Fax:   *E-mail:

Special Needs: Please let us know if you have any special needs, e.g. mobility, dietary requirements:

Payment information

Credit Card
Please phone LivingWorks at +1 (403) 209-0242 to finalize your payment by credit card
-OR-
Check #:
Mail check(s) payable to:
LivingWorks Education Inc.
4303D 11 Street SE
Calgary, Alberta T2G 4X1 Canada

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     Last updated February 1, 2010