To register please print this form, complete and either mail or fax it to Empowerment Training Programs as listed below.

Tuition: $3,450, Single Room: $1,580, Double Room: $1,195.
A minimum of half payment for tuition and room and board is due upon registration. Full payment is due on or before December 1st, 2007. Checks and credit cards are accepted. ($1,000 of payment is non-refundable). Map and logistics information will be sent approximately 30 days prior to the first session.

For questions and more information:
Empowerment Training Programs
1649 Route 28A,
West Hurley, New York 12491
845 331.1312
Fax: 845 331.3041
Email: dgershon@empowermentinstitute.net


You can register by phone, fax or by mail.

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____Check here if you eat only vegetarian meals


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