CEU Registration - Supervision Series - North Shore Wellness Services, Ltd.

3000 Dundee Road, Suite 411-412, Northbrook IL, 60062
(847) 205-0371

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Registration - Classes and Workshops

First Name:

Last Name:

Address:

City:

State: ZIP:

Phone:

Email:

License No.:
(if available)

Select a series or mix & match your own schedule...

Select your classes by clicking the box next to your desired dates. If you can not check the box the class is sold out.

If your first choice is closed, select another option and indicate in the "Comments" box your wish to be added to a wait list for your first choice. You will be contacted if space in your first choice becomes available.

Submit the form by clicking the "submit" button at the bottom of the page.

Counseling Supervision Training Program 2012
$75 per class with advance registration /$85 at the door.

Select Classes

	Thursday 3/8/2012
501	8:30am - 11:30am
502	12:30pm - 3:30pm
503	4:00pm - 7:00pm

	Friday 3/9/2012
504	8:30am - 11:30am
505	12:30pm - 3:30pm
506	4:00pm - 7:00pm

	Thursday 3/29/2012
507	9:00am - 12:00pm

Number of Attendees:

Names of Additional Attendees:

Comments:

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Payment Options


North Shore Wellness Services, Ltd. 3000 Dundee Road, Suite 411-412, Northbrook IL 60062 phone: (847) 205-0371 fax: (847) 205-0377 © copyright North Shore Wellness Services, Ltd. an Illinois company, 2011.