CLICK HERE TO REGISTER ONLINE!

Registration: 8:30 am – 9:00 am / Workshop: 9:00 am – 4:00 pm

Baker College of Allen Park

4500 Enterprise Dr., Allen Park, MI 48101

313-425-3700

FREE PARKING!

Lunch on your own! OPTION: Local Restaurants

Approved: 6 CREDIT NBCC HOURS

“MMHCA has been approved by NBCC as an Approved Continuing Education Provider,

ACEP No. 2064. Programs that do not qualify for NBCC credit are clearly identified.

MMHCA is solely responsible for all aspects of the programs.”

Approved: 6 CREDIT MCBAP HOURS 

This course is approved by Michigan Certification Board for Addiction Professionals.

Approved: 6 CREDIT CE SW HOURS 

Course approval #121216-07

• MMHCA and Allied Health Members: $100.00
• Non-Members: $150.00
• Group Rates: $125.00 (for groups of 5 or more attendees)

These are the steps required:

1. Contact RDavisLPC@gmail.com
2. Print out applications and complete one form for each attendee.
3. Applications and a check must be mailed no less than 10 working days prior to the workshop.
4. Mail check for the TOTAL group amount to:

MMHCA, Attention Terry Mike, PO Box 80036, Rochester, MI 48308

• Students: $75.00

* No refunds after September 22, 2017

Information / Registration online or mobile at: www.MMHCa.org

Name:

Address, City, Zip:

Phone/Cell:

Email (required):

Total Fee: $

(Mark with “X”) Check:     Visa:      Master Card:     American Express:

Card Number:

Expiration Date:

Security Code Visa and Master Card (3 digits on back of card):

Security Code American Express (4 digits on front of card):

Signature (mail-in only):

Check or money order payable to: MMHCA                                                                                                                                          Mail to:  MMHCA, PO Box 80036, Rochester, MI 48308