Registration Form for

Narrative Solutions - Solution Narratives Conference by

Michael White and Steve de Shazer

To register for the conference - Print this registration form, fill it and send it to the adderess below.

DSM-IV Classification of Registration Disorders

__ $225.00 Pathologically Early before Aug 16th __ $225.00 Unusually Healthy before Sep 18th

__ $275.00 Chronically late & Walk-Ins after Sep 18th ___ $180.00 Students (Post raumatic Academic hock Syndrome)
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Last Name:________________________ First Name: _____________________________

Address 1:________________________ Address 2: _______________________________

City :____________ State: ______________ Zip Code:_____________

Phone:__________________ FAX:__________

Payment Methods: Please Pay in US Funds
__Check (payable to BFTC) ___Money Order
__Visa___Master Card ____American Express
Account#__________________ Exp Date:____________ Amount ___________

Registrations received by October 1st will receive a written confirmation, a map, and other information about the conference such as parking and shuttle service
Purchase Order Numbers will not be accepted. Payment in full must be accompany this registration form.

Cancelation & Refund policy: Refunds gladly made, less a $30.00 USD processing fee. Request for refund must be postmarked by October 18, 1996. No refund after thisd time.

Mail Registration To
B F T C
P.O. Box 13736
Milwaukee, Wisconsin 53213-0736

For further information about the confrenence please contact:

B F T C

Phone: (414)785-9001 Fax: (414)785-9008
E-mail: BriefFTC@aol.com