Online Registration Form

Margaret V. Moore, LISW
EMDR Trainer    
2418 Miles RD SE
Albuquerque, M 87106     
505-247-8915    

Name *
Name
Address
Address
Business address:
Phone
Phone
Please select training/fee:
Please indicate whether you will pay online below (using Paypal) or mail a check payable to Peggy Moore, LCSW, P.O. Box 7158, Albuquerque, New Mexico 87194. A deposit of $100 will hold your spot and is nonrefundable after 7 days prior to training.
Any message, questions or requests.
Select Training to Pay