CE Registration, 2019 March 23: Your Therapist’s Professional Will: If Not Now, When? Anne Steiner, PhD, LMFT Saturday, March 23, 2019 8:00 a.m. – 3:30 p.m. CE-2019/03/23: Your Therapist’s Professional Will: If Not Now, When? PRESS TAB to move between fields. Do not use Enter. NO REGISTRATIONS WILL BE ACCEPTED ON THE DAY OF THE CONFERENCE Contact Information Contact Last Name * Contact First Name * Contact Daytime Phone * Contact Email Address * Pricing General Admission: $135 per registrant per conference Group Admission: $115 per registrant per conference for three or more registrants applying jointly Partner Admission: $95 per registrant per conference (Partner code required for this price) Session(s) Desired Partner Code (if registering as a partner) If you enter a partner code that is not valid, you will be charged the General Admission rate. # of Participants * Total Cost for this Session (with Partner Code) Total Cost for this Session (Group Admission) Total Cost for this Session (General Admission) Grand Total Participants Name * Licensure Type * PhDLMFTLCSWNurseCredentialed Addictions Treatment CounselorIntern plus1 Add Another Participant minus1 Remove Participant You must enter the name and licensure for all attendees before paying. If the number of names entered does not match the # of Participants field above, you cannot submit your registration. Submit