Please complete the form below to register for the Intro. to MI workshop with Dr. Michael Fulop, Sept. 26-28, 2018. We’re glad you can join us!
If you are registering other people, please submit a separate form for each workshop participant.
After you submit the form, you will be taken to the payment page. You may also print the form and mail it with a check to:
Michael Fulop, Psy.D.
5440 SW Westgate Drive, Suite 175
Portland, Oregon 97221-2436
Note: Dr. Michael Fulop is authorized to receive direct deposit ACH payments from the State of Oregon Agencies/Vendors. Thus, if you are purchasing workshop(s) or other services from a state agency, payments should automatically be directed to the ACH payment system.
Dr. Fulop reserves some discounted training slot fees as it’s both an expectation and an ethical obligation as a member of MINT. Requests are evaluated on a case-by-case basis, so email Dr. Fulop if you/your agency wishes to be considered for a discounted fee.
STUDENTS: Please email Dr. Fulop a request if you need a student discount coupon.