Application

To apply for the Meeting (applications will be accepted in order of arrival, only if fully completed, and subject to receipt of payment):

1 – e-mail the application form (see below) to:  ps.events@psicosintesi.it 

2 – you will receive confirmation, together with instructions for payment

3 – participation will be confirmed after receipt of payment

4 – then you can book your room

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APPLICATION FORM     (Please rename the file to include your name)

CO-CREATING AN INTERNATIONAL PSYCHOSYNTHESIS COMMUNITY
Florence, 17-20 September 2015

Name and Family name:

E-mail Address:

Home Address:

Home Phone:

Profession:

Background in Psychosynthesis:

-    how many years of training?
-    which training institute did you train with?
-    fields of application of psychosyntesis
-    other useful information

Are you associated with a Psychosynthesis Center?   

If yes, which? 

Do you require a special diet?

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APPLICATION FOR REDUCED FEE

Why do you need the reduced fee? 
Please describe your special circumstances (confidentiality guaranteed):

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