REGISTRATION FORM
 

To register:

  1. Please send e-mail to the JPA (jpa@jungseattle.org) with the following text-based form filled in.
  2. Use the buttons to register using PayPal.
  3. To add multiple registrants or add optional items, click "Continue shopping" in the shopping cart before checkout and return to this form.
  4. Note that you can request CE credits and request a membership application.
Advanced General Registration, by 9/8/2010: $110 each

General Registration, after 9/8/2010 OR onsite: $120 each
Advanced Registration for Students, by 9/8/2010: $60 each
General Students Registration, after 9/8/2010 OR onsite: $80 each
65+ Senior Registration: $90 each
JPA Members Advanced Registration, by 9/8/2010: $65 each
General JPA Members Registration, after 9/8/2010 OR onsite: $80 each
OPTIONAL: CE Certificate Requested (6 credits):
OPTIONAL: Please send me a JPA membership application:
To see total amount, click View Cart button.

Jungian Psychotherapists Association
P.O. Box 31721
Seattle, WA 98103

Refunds: Requests for an 80% refund must be made no later than 9/8/2010. JPA phone (206) 784-9977.

Luncheon provided.