Workshop Registration Form and Information

COUPLE/CORE COMMUNICATION Instructor Training Workshop Fees

Registration Fee Per Person . . . . . . . . . . . . $ 460.00
10% Discount Pre-Registration Fee Per Person. . . . $ 414.00
  (Registering 3 weeks before workshop)
25% Discount Pre-Registration Fee Per Person. . . . $ 345.00
  (Two or more from same organization, registering
   together, 3 weeks before workshop)
30% Discount Previous Workshop Attendee . . . . . . $ 322.00
50% Discount ICP Certified Instructor . . . . . . . $ 230.00
50% Discount Spouse of Attendee Sharing Materials . $ 230.00
115% Fee for On-Site Registration . . . . . . . . . $ 529.00
  (On space available basis) 

The Workshop Registration Fee Includes the Following Materials:
(valued at $193.95)

CC I Instructor Manual, revised 2007 
CC I Couple Packet, revised 2007 
CC II Couple Packet, revised 2010
CC II Instructor Agenda, revised 2010 
Core Communication Workbook
Registration fee also includes online ThriveSphere Facilitator Training (valued at $85.00)
		

U.S. Shipping Fees for Materials
In the U.S., we ship materials via United Parcel Service (UPS). Shipping for workshop materials is $12.50. Add $2.00 if shipping to a residence. (UPS charges extra for residential delivery.) If you wish to expedite delivery, we will be happy to accommodate. Check with us for additional charges.

Orders from OUTSIDE of U.S.
Contact us for Information.

Workshop Cancellation Policy
If you are unable to attend the workshop, you may substitute someone in your place. The workshop fee will be refunded (less an administrative charge of $50.00) or may be applied to another scheduled workshop, if notification is received by one week prior to the workshop. There is no refund for cancellations received after that date.

Payment Methods We accept prepaid checks or credit cards (VISA, Mastercard, or American Express)

Form for Workshop Registration           Click here for a PDF of the Registration Forrm
(You may print this form, fill it out, and then mail, fax, or call the information in to our office.)
Please print one form per person registering.

Name_______________________________________________________ 



Organization_______________________________________________



Ship Address Home__ Office__: _____________________________

    

City__________________________________State_____Zip________



Phone_____________________   Fax______________________  



E-Mail________________________________ 



Credit Card Billing Address (if different from shipping address):



___________________________________________________________



City _________________________________State______Zip_______

Register me for the COUPLE/CORE COMMUNICATION Instructor workshop in:

City___________________ Dates____________________  $________ 



Shipping Fee:  Office ___($12.50) Home ___($14.50) $ _______ 



Continuing Education (CE) Fee($15.00 per certificate):



List specific CE certificate ____________________  $ _______

             

___Check Enclosed   ___VISA    ___Mastercard   ___American Express 



Card#________________________________ Exp.Date________



Signature_____________________________

Workshop site and lodging information provided with confirmation letter. Please let us know if you need assistance (attach explanation).