| Your name: |
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| Please select the category and fee that applys for you: |
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| Keeping the Love You Find: A Workshop for Individuals |
| $250 for NPI members and Imago Therapists if registering by February 15, 2008. |
| $300 for non-NPI Therapists registering by February 15, 2008. |
| $300 for Imago or NPI Therapists registering after February 15, 2008. |
| $325 for non-NPI Therapists registering after February 15, 2008. |
| How did you hear about this Workshop? |
| Please hit the SUBMIT button, it will then direct you to the next page to purchase via credit card using PayPal. PLEASE NOTE THE AMOUNT YOU ARE PAYING BEFORE HITTING "Submit". (You will need to enter the amount with PayPal). |
| T H A N K Y O U ! |
