Content provided by the Michigan Psychoanalytic Council (MPCPSA.ORG).
Copyright © 2004-2005 Michigan Psychoanalytic Council. All Rights Reserved.
MPC Registration Form
Please send one form for each course.
There is an additional $25 late registration fee after August 1, 2006
for each Fall course, and December 1, 2006 for each Winter course.
Semester: [ ] Fall [ ] Winter Site:
Phone (Day) (Evening)
Membership Status in MPC [ ] Member [ ] Request for Membership
Training Program Status in MPC [ ] Candidate