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 on (Check one): December 9th and 10th, 2008:  _____ February 4th and 5th, 2009:  _____ Thank you!

Motivational Interviewing: The Basics December 9th and 10th, 2008 February 4th and 5th, 2009 12 CEU's (Maine)  Cost: $150.00 Location:  25 Middle Street Portland, ME 04101 9:00 a.m. - 4:00 p.m. each day. Taught by Stephen Andrew, LCSW, LADC, CGP