Southern California Education and Training in Bowen Family Systems Theory

Annual Bowen Theory Conference » Registration Form

Saturday, October 28, 2017
Conference Registration Form

Michael Kerr, M.D
“The Hidden Life of Families”

Step 2

Step 1: Registrant Information

Fill out your personal information using the form below.
Name*
Licensed Degree*
Address*
 
City*
State*
Zip*
Home Phone* ()
Office Phone ()
Fax ()
Email*

Step 2: Registration Type

Select your registration type.
$200.00 (Licensed and Others) Paid by 09/30/17
$225.00 Paid after 09/30/17
$125.00 (Unlicensed) Paid by 09/30/17
$175.00 Paid after 09/30/17

Registration fully refundable by September 30, 2017 less $30.00 Cancellation Fee


Step 3: Credit Type

Select your credits.
$10.00 6.5 CE Credits LMFT/LCSW 
$15.00 6.5 CE Credits PSYCH 
No Credit

Cost of CE credits is additional to conference fee.

Step 4: Payment Type

Select your payment type.
Pay with Check
Pay with Credit Card
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