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The New Zealand Centre
for Cognitive Behaviour Therapy The
New Zealand Centre for Rational Emotive Behaviour Therapy REGISTRATION / PURCHASE
FORM
for Professional Training Resources |
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1
Select resource
- Ensure you have read the
refund policy.
- To learn more
about an item, click on its title below.
- To select a resource, tick the box next to it
on the left.
Notes:
Goods & Services tax at 15% is already included in the costs below.
Do not send any money at this stage: the Centre will issue an invoice for payment after your information has been processed.
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Online Primary Certificate in Rational Emotive Behaviour Therapy
NZ$
655.00
Please note: We are not able to accept any new trainees for the Primary Certificate at the present time. If you are interested in a future enrolment, please check this page from time to time for any updates.
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Software: Rational
Analysis Training Simulator
NZ$ 45.00 (NB: this is only for practitioners who completed certificated REBT training before the Simulator was
introduced. Do not purchase if you are registering for the current Primary Certificate in REBT course, as
it is already included in the course fee).
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2 Enter your
details
- Please complete all fields (type N/A for any fields that do not apply to you)
- Some items below show a question mark which you can click to see help for that item.
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First name: |
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Last name: |
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Address
- line 1: |
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Address - line 2: |
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Address - line 3: |
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City,Town or District
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Postal
Code: |
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Country: |
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Email address: |
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Phone (day): |
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Phone (evening): |
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Phone (mobile): |
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Fax: |
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Profession:
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Professional Assn.
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Current Position:
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Qualifications:
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Send Invoice to:
Name of Organization Contact person's name
Their Email address Address line 1 Address line 2 Address line 3 City
Postcode Country |
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Simulator info:
(only for Simulator purchase) Name on
certificate Certificate type Issued by
Date issued
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How I heard about
these resources:
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3 Send
To send your information to the
Centre, click on the SUBMIT button.
NB: after you have submitted this form, a page will appear confirming receipt of your application. If the confirmation page does not appear, it means that your application has not been received. If this occurs, please e-mail the Centre and we will arrange to take your application manually.
To clear the form, click RESET (NB: this will delete all your entries).
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