2008 AzAMFT REGISTRATION FORM
Tucson Friday Morning Breakfast Workshop Series

Name: _____________________________________________________

Address: __________________________________________________

___________________________________________________________

Phone: __________________ Email: __________________________

2008 Workshops (mark your choices):

_____ February 1^st _____ March 28^th _____ May 16^th

Registration Fee

SAVE UP TO $30: Register for all 3 workshops for ONLY $90

$35 per workshop if postmarked no less than 1 week prior to workshop

$40 per workshop at the door or if postmarked less than 1 week prior

$25 per workshop for students with current student ID

     All fees include breakfast.

___ Enclosed is a check in the amount of $ __________

     Make check payable to: AzAMFT Tucson Breakfast

___ Charge my credit card # __________________________________

        ___ VISA     ___  MasterCard

Expiration Date: ________________

Signature: _________________________________________

Mail your completed registration and payment to:

AzAMFT
c/o Marguerite Hamburger, LAMFT, LISAC
8601 E. Old Spanish Trail, #623
Tucson, AZ 85710

THANK YOU! WE LOOK FORWARD TO YOUR PARTICIPATION!