EMDR Interweaves

Registration Application

Please follow the prompts on this Registration Application to tell us a little about yourself and select a payment option for your training.

If you have any questions along the way, send us a message and we will be happy to help!

Once the Registration Application, Payment, and Participant Agreement are received, we will send you a confirmation email within 3 business days.

Back to Basics: EMDR Interweaves

Date: Saturday, November 4th, 2023

Times (by zone):8:00am to 12:00pm PST; 9:00am to 1:00pm MST; 10:00am to 2:00pm CST; 11:00am to 3:00pm EST

EMDR Interweaves Registration Application

Name*
First Last
Degree*
Professional License*
License Number and Licensing State*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Office Phone*
Cell Phone*
Email*
How did you learn about our training?*
When did you complete your EMDR Basic Training?*
PAYMENT OPTIONS -- Early Registration NOW OPEN!
To pay by check, skip the two dropdown menus (for payment and CE options). Instead, agree to the payment terms and submit your application. We will email you to arrange payment.
Early Registration Discount -- Available through October 15, 2023
Early Registration — Licensed

Single Payment: $125

Early Registration — Nonprofit or Pre-licensed

Single Payment: $100
Hidden
Standard Registration -- OPEN for Early Spring 2023
Standard Registration - Licensed

Installments: $1740 ($580 initial deposit, plus 2 future installments)

Single Payment: $1700

Standard Registration — Nonprofit & Pre-licensed

Installments: $1530 ($510 initial deposit, plus 2 future installments)

Single Payment: $1500
Continuing Education Credits (4.0CE's)
Total
$0.00
Payment Terms*
I agree to the terms below.
REFUND POLICY: tuition is refundable upon written request up to 30 days before the first day of training, less a $25 administration fee. Within 30 days of the training, a refund will be made, minus a $50 administration fee. Once the training begins, no accommodations, refunds, or credits will be made for changes in personal, family, or business situations, including medical events.
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