Please make checks payable to: C.G. Jung Instute - Boston

Mail to: C.G. Jung Instute - Boston, 21 Harord Street, Newton, MA 02461

Please check if you will require CEU credits: NASW ______ MHC ______

Name _______________________________________________________

Address _____________________________________________________

_____________________________________________________________

Telephone ___________________________________________________

Email _______________________________________________________

Registraon FormRegistraon InformaonPlease print and complete this Registraon Form then enclose it with your payment. Make checks out to the C.G. Jung Instute - Boston.

Space is limited, so register as soon as possible to ensure a place in the seminar(s) of your choice. Once a program is full, registraons will not be allwill not be allowed at the door.

Refund Policy If you withdraw from a program at least 48 hours before the program starts, we will send you a refund of your program fee minus a $20 processing charge. If you contact us to withdraw from a program less than 48 hours before the program start date, we will arrange a credit of 50% of the program fee to be used within two years for another InInstute/NESJA program. No refunds or credits are issued on or aer a program’s start date.

TOTAL DUE $ _____________________

For CEUS: add $10.00 flat fee for each program if available $ _____________________

Members of Friends of Jung - Deduct 10% $ _____________________

Programs Total $ _____________________

$ _____________________

$ _____________________

$ _____________________

$ _____________________

$ _____________________

$ _____________________

$ $ _____________________

$ _____________________

March03/27

03/31-05/12

April04/24

May05/0105/01

05/02

05/23

June06/13

6/19 -6/20

Spring 2020 Public Programs