THIS IS NOT AN ONLINE REGISTRATION FORM - FOR PRINT ONLY            Printed Date: 8/19/2017 9:08:40 PM

Seminar Title:
Suicide & Self-Harm: Stopping the Pain
Seminar Date:
Friday, January 13, 2017
Seminar Location:
BLOOMINGTON, MN 55425
Seminar ID:
50432

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$219.99 Single Registration
$199.99 2+ Group Rate: per person
$189.99 5+ Group Rate: per person
$110.00 Student
  ________ HI, NM attendees add applicable sales and local taxes**
  ________ Subtotal (Required items + sales tax)
 
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$19.95 Suicide and Psychological Pain: Prevention That Works
$29.99 Co-Occurring Disorders: Integrated Assessment and Treatment of Substance Use and Mental Disorders
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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.
  *** All prices are shown in US Dollars ***
 
 

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