<< Workshops  << Registration  Download the registration form (pdf) Workshop Registration * signifies required fields * Name Address City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ---- AB BC MB NB NF NS NT ON PE QC SK YT Zip * Day Phone * Evening Phone * Email * Workshop Selection Select A Workshop For Gay & Lesbian Couples 9/12 - 9/14/08 For Heterosexual Couples 10/10 - 10/12/08 Payment Information Total Workshop Cost Per couple $600 Registration deposit due at time of enrollment Remaining cost due 2 weeks prior to workshop Per couple $250 Per couple $350 Registration is not complete until deposit has been received.   Make checks or money orders payable to: Patrick J. Vachon, LMSW-ACP 1712 Fairview Houston, TX 77006 If you have any questions, please call: 713.524.1771 or e-mail vachonpj@aol.com    Home  |  Imago  |  Workshops  |  Therapy |  EMDR Sex Addiction  |  Articles  |  Related Links  |  Payment  |  Contact