Christian Counselors of Texas

Conference Registration

Please Note: Fill in the needed information below and click submit. A conference payment form will appear. Make your conference registration selection; you will then be taken to a Pay Pal cart. Click "Continue Shopping" to make more selections. Continue until all your selections have been made. If your browser opens a new tab you will have to click on the previous tab to continue adding items to your Pay Pal cart.

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Name: Registration: Regular Registration (postmark before February 04, 2010 - Banquet NOT included in conference cost) Regular Member cost $210 Non-Member cost $250 One Day (Banquet NOT included in conference cost) Member cost $185 Non-Member cost $225 Half Day Member cost $70 Non-Member cost $85 (Banquet NOT included in conference cost) Student Undergraduate / Graduate Cost $75 (Banquet NOT included in conference cost) Spouse / Friend Attending Cost $110 (Luncheon & Banquet NOT included in conference cost. No CEUs given.) Thursday night Banquet Yes, I will be attending the banquet. Cost is $35 per person. I will need additional reservations not including mine($35 ea) Additional Luncheon Reservations Yes, I need additional luncheon reservations ($18 each). One luncheon reservation is included in price of Early Bird, Regular and on site conference fee. One day, Half day, Student and Spouse/Friend must purchase reservation. Membership Renewal Professional Membership New Professional Member ...................(New members must submit a membership application) LPC MSW LMFT Psychologist Psychiatrist Other Associate Membership $60 Renewal Associate Membership New Associate Member Ministry - Explain: Student Renewal Membership $30 (New Students first year is free) Renewal Student Membership New Student Member Student at University: Retired Membership $40 Renewal Retired Membership New Retired Member Comments: Address: City: State: Zip Code: Bus. Phone : Email Address: Note: We are interested in your membership in CCT. If you have any questions please contact us.

Please Be Sure You Make Payment After You Register

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