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Music Therapy shell


Source: www.ce.emich.edu
Topic: Music Therapy

Sort Desciption: Grief and Loss Music Therapy Institute. Registration Form. Space is limited — the deadline to register is Friday, July 13, 2007. ...

Content Inside: CONTINUING EDUCATION Eastern Michigan university ™ E Grief and Loss Music Therapy Institute Registration Form Space is limited — the deadline to register is Friday, July 13, 2007. Register by submitting this form by fax: 734.487.2316 or mail: Grief and Loss Music Therapy Institute Continuing Education 100 Boone Hall Eastern Michigan University Ypsilanti, MI 48197 Name Title Phone (h) (w) E-mail Organization City State Zip Home Address City State Zip Payment Includes materials, continental breakfast and parking. Full payment is due with registration form. Please make copies as needed - one form per person. $600 Conference fee $88 Housing (optional University residence hall housing for four nights) $ Total Check enclosed for $ (Payable to Eastern Michigan University) Third party payment $ Name of organization Charge my credit card $ VISA MasterCard Card Number Exp. Date Name as it appears on card




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