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 (please check one) September 22nd and 23rd, 2010:  _____ December 7th and 8th,  2010:  _____ Thank you!

Motivational Interviewing: The Basics September 22nd and 23rd, 2010 December 7th and 8th, 2010 11.5 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, CCS