Seminar Registration

On-site ONLY Seminar “LUNCH N’ LEARN” Bring your bag lunch on-site and a snack to share 3.0 Ethics & Boundaries CEU Credits Presented by James J Messina, Ph.D., CCMHC, NCC, DCMHS-T

Professional Information

Name & Credentials:

License or Registered Intern#

Practice Name:

Office Phone:

Address:

Email Address:

School Attending (if student)

Product Name

Choose One

Member with prepaid CEU package:
Prepaid for CEUs with membership (no payment required)
Licensed Professional or Registered Intern Member:
$30 for 3.0 CEUs
Associate, Retiree and Student Member:
Free (no payment required)
Nonmember:
$35 for 3.0 CEUs
Guest:
Free (no CEUs provided)

Total

$0.00

"MAINTAINING HEALTHY ETHICAL BOUNDARIES”