| If you would
like to be included on the "Seminar Locations" page, please
complete the information below, then mail, fax, or send it as an email
(either as an attachment, or pasted into the body of your message). There
is no charge to you for this service.
PLEASE
NOTE: For our safety and yours, if you send your information as an
email, PLEASE identify what you are sending in the "subject"
box, and include a brief note in the body of your message, otherwise we
will not open your email! (To avoid spreading computer viruses.) |
| By Mail: Impact Publishers, Inc.,
PO Box 6016, Atascadero, California 93423-6016 |
| By Fax: 805-466-5919
- 24 hours every day (Please
note, unsolicited advertising will not be accepted at this fax
number.) |
| By Email: seminars@rebuilding.org |
| Print or type information below. |
|

|
| I'm offering
the Divorce Recovery Seminars based on Bruce Fisher's
"Rebuilding" model, and would like to be listed on the
Rebuilding.org website. |
| Name ___________________________________________________________________________ |
| Professional
Credentials/Licensure (if
any)_____________________________________________ |
| Organization/Agency
(if any) ________________________________________________________ |
| Address _________________________________________________________________________ |
| City __________________________State/Province________________ Zip___________________ |
| Email
address _____________________ Office Phone: __________________________________ |
| Location(s)
of Seminar (cities)
_______________________________________________________ |
| Website
address (if any)
___________________________________________________________ |
| Comments
______________________________________________________________________ |