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Please mail registration information to Gestalt Associates for Psychotherapy, 36 West 25th Street (10th
floor) New York, NY10010; fax to 212-689-7745; or email to gestaltassoc@aol.com. You may use Visa
or Master Card, or a check payable to Gestalt Associates for Psychotherapy.
Registration is due 2 weeks prior to the first date of the scheduled course. Tuition is non-refundable after the start date of
each class. For additional information, email Arleen Maiorano at amaioranolcsw@aol.com.
Classes will take place on the GAP premises unless otherwise specified.
Name______________________________________
Phone:_______________________________
Address____________________________________
Phone:_______________________________
____________________________________
Email:_______________________________
Developmental Theory, Attachment: Connie Newman, 3 Saturdays: 2/21; 3/21; 4/25, 12 5pm
Dreaming, Dream Analysis, & Dreamwork: Susan Jurkowski, 3 Saturdays: 4/11; 5/2 & 5/30, 1 6pm
Ethical Considerations in Analytic Practice: Arleen Maiorano, 4 Fridays: 5/8 & 22; 6/12 & 19, 6 - 9:45pm
Credit Card: Visa Master Card Acct #_______________________________Exp. Date___________________