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CE WORKSHOP REGISTRATION FORM

 Workshop  Fees:     Category A Countries    US$ 50 per workshop

                                 Category B Countries     US$40 per workshop

                                 Category C Countries     US$30 per workshop

                                 Students/PAP members  $US30 per workshop

I wish to register for workshops  A  B  C  D  E   (circle as appropriate). See below for Titles, times & presenters

Name_________________________________

Address____________________________________________

___________________________________________________

email__________________________________________

 

Payment method __bank/wire transfer __check enclosed __credit card __money order

Wire transfer can be made directly to:

Natividad A. Dayan

2287-00003-0

Equitable PCI Bank, West Trade Center

West Ave. Branch Switch Code: PCIBPHMM

* *The only credit card accepted  is VISA.  It is highly recommended that participants residing in North America and where possible, use Checks or Money Orders for payment.

Cardholder Name:__________________________________

Name of Organization Issuing Card:_____________________

Postal Address:______________________________________

Telephone Number:___________________

Card Issue Number:_________________Card Number:___________

Cardholders Name and Initials as on card:_______________________

Card Expiry Date:_____________________

 

Send form to:

Dr. Natividad A. Dayan

Dayan’ Psychological Clinic

Suite 2103 V.V. Soliven Shopping Complex

EDSA, Greenhills, San Juan, M.M., Philippines

Email to: bereps@pacific.net.ph

Presentations & Times

A. Forensic Psychological Evaluations Update (July 1, 9 am. – 1 pm.)--Dr. Ludwig Lowenstein, Ph.D., Allington Manor, Eastleigh, Hampshire, UK

 B. Approaches to Developing Therapist Advanced Alliance Skills (July 1, 2 pm. to 6 pm.)--Manuela H. Habicht, Ph.D., Toowoomba, Australia

 C. Divorce: Helping Clients Cope (July 2 8 am. to noon)-- 

  D. Beyond the Ties that Bind Adult Children and Their Parents: A Satir Experience that Prepares Your Grown Child to be Your Equal (July 2 1 pm. to 5 pm.) -- 

 E. Energy Therapies and Healing (Post-Convention, July 5 9 am. to I pm.)-- Chok C. Hiew, Ph.D., University of New Brunswick, Fredericton, NB, Canada

 F. Resilience in Adolescents (July 2, 1 pm. to 5 pm.)--Judith Paphazy,Ph.D.,   Melbourne, Australia. THIS WORKSHOP HAS BEEN CANCELLED.