Page 22 - 2019 CPI Conference Brochure

STEP 2 — MAKE YOUR CONFERENCE WEEK SELECTION
PLEASE CHECK THE APPROPRIATE BOX.
Program Options for Instructors Certified After July 19, 2015
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Cost
Conference + One-Day Blended Renewal
$1,850/week (US) $2,250/week (CDN)
Registration Includes:
Conference sessions, training and events. Breakfast and lunch are included each day.
Registration Includes:
Conference sessions, training and events. Breakfast and lunch are included each day.
Conference + Two-Day Classroom Renewal
Conference + Autism Spectrum Disorder Renewal
• Two-Day Blended • Advanced Course
$1,850/week (US) $2,250/week (CDN)
$3,450/week (US) $4,200/week (CDN)
Conference + Advanced Physical Skills Renewal
• Three-Day Blended • Advanced Course
$3,850/week (US) $4,700/week (CDN)
Program Option for Instructors Certified Before July 19, 2015
Cost
Conference + Three-Day Blended Renewal
$1,850/week (US) $2,250/week (CDN)
Program Option for New or Lapsed Instructors
Cost
Conference + Instructor Certification/Recertification Program
• Three-Day Blended
STEP 3 — SELECT METHOD OF PAYMENT STEP 4 — REGISTER EARLY!
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PO Number __________________________ Check Number ________________________
Online Register online at cpiconference.com
Call 877.877.5390
888.758.6048 TTY (Deaf, hard of hearing, or speech impaired) M–F 7:30 a.m. to 6:00 p.m. CT
Fax Fax your registration with billing information to: 414.979.7098
Mail Mail your registration with billing information to: Crisis Prevention Institute
10850 W. Park Place, Suite 600 Milwaukee, WI 53224 USA
$3,850/week (US) $4,700/week (CDN)
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Credit Card # ________________________ Expiration Date _________ Signature __________________________ Today’s Date ___________
AMERICAN EXPRESS Card