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Registration

If you are interested in group or student registration, please fill out the printable form in our conference booklet and send it to us via mail or fax.

Mailing Address:

P.O. Box 425
Bangor, ME 04402-0425
Fax Number: 1-866-942-4350

Online Registration

The form below can be used to register for the conference, but will not register you for a room. To register for a room, please consult the printable form from the Harborside Hotel or the Bar Harbor Regency.

Attendee Info

Name

First*

Last*
 
Position Organization *
Address Type Phone Type
Address * Phone *
 
,
City *

State/Province *

Postal Code *
Fax
Country * Email

Lunch and Breakout Selections

The following lunch options are for lunch-time presentations. Please select your choice for lunch and breakout sessions on each day.

 

Lunch Selections

Breakout Selections *
Thursday, June 22nd
Friday, June 23rd
Saturday, June 24th

Shuttle Service

Below, you can specify whether or not you would like to include shuttle service to or from the conference.

Bangor to Bar Harbor *
(Additional $40) 		Bar Harbor to Bangor *
(Additional $40)

Sponsors
Community Health and Counseling Services &
The Institute for the Study of Therapeutic Change 		Featured Speakers:
Barry Duncan, Psy.D.
Scott Miller, Ph.D.
Jacqueline Sparks, Ph.D.
Bruce Wampold, Ph.D.
Leonard Bickman, Ph.D.
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