Please fill this form out completely. Once you submit the
information, it will be forwarded to the appropriate employee in the
city office that you select. That individual will contact you
shortly by phone. We aren't currently accepting seminar tuition over
the Internet. Tuition will be handled at the end of the registration
process when you are contacted by a PSI Seminars representative.
Personal Information
*First
*MI
*Last
*Home Phone
(
)
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*Work Phone
(
)
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*Email
(e.g. doe@anywhere.com)
*Address
*City
*State
/ Province
*Zip/
Postal Code
* Is it OK to Contact You at Work?:
Yes
No
* How did you hear about us?
Please check all that apply
A family member
A friend
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Internet Search
The Web Site
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The Basic Seminar
Where do you want to attend?
* You Must Choose one of these locations to complete the form.
Chicago, IL.
Los Angeles, CA.
Portland, OR.
Denver, CO.
Orange County, CA.
San Diego, CA.
Honolulu, HI.
Phoenix, AZ.
San Francisco, CA.
Las Vegas, NV.
Seattle, WA.
Vancouver, Canada.
If you're planning on attending the Basic Seminar through a city office that isn't listed above, please check the option below and then also type the name of the alternate city in the field provided. If you are unsure of what additional cities we may be currently offering The Basic Seminar in, please use the "Dates & Times" link at the top and bottom of this page to verify. The name of that city is required below to complete this form.
