To sign up: Please print this page, fill out the following information, and mail it with your check or money order to: HETI 25 Middle Street Portland, ME 04101 Name:  _______________________________________ Telephone number:  _______________________________________ E-mail Address:  _______________________________________ Address:  _______________________________________ City:  _______________________________________ State:  __________ Zip:  __________ I will be attending Motivational Interviewing: The Basics on (please check one): December 9th and 10th, 2008:  _____ February 4th and 5th, 2009:  _____ I will be attending Advanced Motivational Interviewing on (please check one): December 11th, 2008:  _____ February 6th, 2009:  _____ Thank you!

Motivational Interviewing: The Basics Plus Advanced Motivational Interviewing Discounted Rate! Both trainings for $215.00. Taught by Stephen Andrew, LCSW, LADC, CGP