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Contract and Training Form
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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______________________________________________
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- 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.
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For more information:
Harm Reduction Psychotherapy Inst.
1875 I Street NW, Suite 549
Washington, DC 20006 US
Email: results@hrpi.org
202-669-4413
Fax: 202-828-6284
© Copyright 2009 Harm Reduction Psychotherapy Instit. All Rights Reserved.
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