Contract and Training Form
Date:____________

Training Fees
(not including training catering/trainer travel/trainer lodging expenses
if applicable)

$500 Half-day training 10am-1:15pm
$700 Full day training 10am-5pm

Agency________________________
Address___________________
Contact Hame_______________________
Contact Email_________________________
Phone______________________________Fax________________

Training Request

Preferred training date______________________________________

Length__half-day ___full dayHours______________

Preferred Training Time____________to______________

Training Site and
Address______________________________________________________

General
Topic________________________________________________________

Expectations/Goals______________________________________________
  • Fax this completed form to: 202-543-6689
  • Do not register until given a confirmation of the available requested date--we do this by phone.

For more information:
Harm Reduction Psychotherapy Inst.
PO Box 15534
Washington, DC 20003-0534 US
Email: results@hrpi.org
202-669-4413

© Copyright 2007 Harm Reduction Psychotherapy Instit. All Rights Reserved.