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REGISTRATION

Name (Please Print)_________________________________________________________
Address___________________________________________________________________
__________________________________________________________________________
City & State ______________________________________________ Zip _____________
Phone: (_____ )________________________
E-MAIL (for confirmation notice) ____________________________________


___
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   CHECK ALL THAT APPLY
HOURS
CREDITS
   
Monday, January 25, 2010 -- Charlottesville -- DoubleTree Hotel
  #1 ___$130 Ethics in Multiple-Client & Agency-Referred Cases
9:00 - noon
3
  #2 ___$130 Raising Ethical Issues We Avoid
1:00 - 4:00
3
  #3 ___$220 Attend All Day (#1 + #2)
6
   
Saturday, February 13, 2010 -- Richmond -- Hilton Garden Inn Innsbrook
  #1 ___$130 Record Keeping - Focusing on Ethical Underpinnings
9:00 - noon
3
  #2 ___$130 Boundary Crossing or Boundary Violation?
1:00 - 4:00
3
  #3 ___$220 Attend All Day (#1 + #2)
6

         
    Friday, March 26, 2010 -- Falls Church - Fairview Park Marriott
  #1 ___$130 Record Keeping - Focusing on Ethical Underpinnings 9:00 - noon
3
  #2 ___$130 Protecting Confidentiality Rights 1:00 - 4:00
3
  #3 ___$220 Attend All Day  
6

$__________ Total Registration Fee(s)

[THERE IS A HANDLING CHARGE FOR CANCELLATIONS,
SO $50 OF YOUR WORKSHOP FEE IS NON-REFUNDABLE]


PLEASE PRINT THIS FORM
and mail with check or money order to:

The Center for Ethical Practice, Inc
934 East Jefferson Street, Charlottesville VA 22902
[Federal Tax ID # 33-1060678] (Questions: EHF@CenterForEthicalPractice.org)

DIRECTIONS to All Workshops

Return to Events Page for list of Workshops and links to Outlines


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