Basic Interdisciplinary Training – September 14, 15 & 16, 2022 July 11, 2022 By CDTx Staff - sh Registration 1Who are you registering for?2Attendee Information3Payment I'm registering for* Myself Another Attendee My Name* First Last Attendee's Name* First Last My Email* Attendee's Email* Contact Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Phone*FaxAttendee's Profession* Attorney Mental Health Professional Financial Professional Student Other Other Profession Attendee Certifications i.e., Ph.D., MSW, LPC, CPA, CDFA, CFPCFP Profession* required of all CFPsCFP Board Number* required of all CFPsCFP Last Four of SSN* required of all CFPsIs attendee a member of Collaborative Divorce Texas?* Yes No State Bar Number* Members Basic Training Price: Earlybird through 09/02/2022 at 12 noon - $375 Regular Price 09/02/2022 on - $425 Price at the door for members will be $425Non-Members Basic Training Price: Earlybird through 09/02/2022 at 12 noon - $450 Regular Price 09/02/2022 on - $500 Price at the door for non-members will be $600Student Basic Training Price: Earlybird through 09/02/2022 at 12 noon - $25 Regular Price 09/02/2022 on - $30CDT-Staff Basic Training Price: reserved for staff assisting with the eventTotal $0.00 Total $0.00 Credit CardCard Details Cardholder Name Δ About CDTx Staff - sh
