Yes!

I would like to register for the
Learning The Language of Energy:
A Voice Dialogue Facilitator’s Training
with Miriam Dyak and Cassandra Cosme De Pree.


Fall Training: September 11-12, October 9-10 & November 13-14, 2010


Saturday & Sunday, 10am-5:30pm
Redmond, Washington (Seattle area)
36 CECs available

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You have a choice - submit online and call in your credit card information,
or mail in a check, or print this form and mail it in to us via regular mail.

Please call us at 425-753-2490 if would like to register,
or give us your credit card number over the phone.

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FALL TRAINING
September 11-12, October 9-10 & November 13-14, 2010

I am registering by Aug. 1, 2010. Cost: $975

 I am a member of AHP. Cost: $871

I am registering after Aug. 1, 2010. Cost: $1025

 I am repeating the Voice Dialogue Facilitator’s Training (available only if class is not full.)
     Cost: $512

 Deposit to hold a place in the Fall Voice Dialogue Facilitators Training
     Cost: $225 *

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Please tell us how you learned about this workshop

Please tell us something about your work and any prior experience with Voice Dialogue.

Do you need CEC's? **
 Yes
 No

* Because of our rising costs and the losses we incur when participants drop out, we will no longer be able to refund deposits. Your deposit can be moved to a future training minus a $35 processing fee IF you are able to find another person to take your place in the current training or if there is a waiting list for the class.
Please call 206-932-1151 if you have any questions.

**CEC’s are $40 additional payable to AHP at the end of the training.

After filling out this form you may submit it electronically (select Submit button below),
or print it and mail it to The Voice Dialogue Institute,
704 228th Avenue NE #833 Sammamish, WA 98074
To keep your credit card protected, please call in your credit card number
if you submit your registration electronically.
Or, print this form and mail it in with either your check or credit card information.
THANKS FOR YOUR REGISTRATION.

QUESTIONS?  Call us at 425-753-2490 or