To register for the Spring 2009 workshop, please fill out the form below.
At the end of the form, click "submit") ---

Name:
Address:
City:
State:
Zip:
Work Phone:
Email:
Choose a category from the list:
 
Enter a donation amount to the CGPS Scholarship Fund:
  (please do not include $ sign or decimal point - e.g., 123 = $123.00 )
I would like to attend but need scholarship in the amount of:
  (please do not include $ sign or decimal point - e.g., 123 = $123.00 )

 

Send mail to RussH100@aol.com with questions or comments about this web site.
Copyright © 2002 Carolinas' Group Psychotherapy Society
Last modified: 08/06/10