TO ORDER: Print the form below from your browser. Send completed form with check or money order for appropriate amount, plus $5 S&H for one course and $2 S&H for each additional course, to: Transformations Enterprises, PO Box 259, Cassadaga, NY 14718. Any questions? Call 1-800-775-4212.

Transformations Enterprises

PCB Approved Home Study Courses

Course Name - No. of Hours
Qty.
x Fee ea. =
Amount
Introduction to Pathways to Peace - 30 hours _____ $________ $________
Helping Clients Overcome Anger & Rage - 20 hours _____ $________ $________
Relapse Prevention Using Cue Extinction - 20 hours _____ $________ $________
Subtotal: $________
S & H: $________
Grand Total: $________

Course Fees (all materials included)

30 Hr. Course 1@$120 2 @$110 ea. 3 or more@$90 ea.
20 Hr. Courses 1@$80 2@$70 ea. 3 or more@$60 ea.

If more than one counselor is taking the course, please list all names on the back of this form.

Person to whom materials will be shipped:

Name____________________________________________________________________

Address__________________________________________________________________

City_________________________________________State______Zip________________

Phone(______)________________________E-mail________________________________