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Registration Form for LMHC Prep Course Please print sign and mail back completed registration form with a check or money order to BLH Psych Services LLC P. Unauthorized use/sell or reproductions of LMHC Prep Course materials are prohibited. BLH Psych Services LLC does not guarantee a passing score/grade on the NCMHCE. BLH Psych Services LLC is not affiliated with any board agency or test creators. LMHC Prep Course materials are legally protected under the copyright laws of the United States. In no event shall BLH Psych Services LLC be liable for any incidental consequential punitive or indirect damages including but not limited to damages for loss of profits business interruption loss of information and the like arising out of the use of or inability to use the materials even if BLH Psych Services LLC has been advised of the possibility of such loss of damages. O. Box 4954 Deerfield Beach FL* 33442 Name Address Phone Email Address Please indicate course location date and registration type below Location Date Early Registration 129 Standard Registration 149 Early Registration Must Be Received At Least 30 Days In Advance. Standard Registration Must Be Received At Least 2 Weeks In Advance Cancellation Policy You must cancel at least 5 days in advance to receive a full refund. If you cancel after 5 days prior to the course you will be charged 40. If cancellations are made on the scheduled day of the course no refund will be given* There will be a 25 charge on all returned checks. Note Two weeks prior to the course you will get a course confirmation or notice of rescheduled date. There must be a minimum of 10 people registered for the course to be held. A full refund can be provided at your request up to 5 days prior to date of course. Disclaimer NCMHCE is a registered trademark of the National Board for Certified Counselors Inc* which neither sponsors nor endorses this product. The trademark holder is not affiliated with LMHC Prep Course or this website. Test names and other trademarks are the property of the respective trademark holders. Because some jurisdictions do not allow the exclusion or limitation of liability for consequential or incidental damages in such jurisdictions liability is limited to the fullest extent permitted by law. You understand that LMHC Prep Course may revise the content of its website and services from time to time to meet business objectives. LMHC Prep Course may add or remove material that it considers as unnecessary or no longer relevant for its training objectives. O. Box 4954 Deerfield Beach FL* 33442 Name Address Phone Email Address Please indicate course location date and registration type below Location Date Early Registration 129 Standard Registration 149 Early Registration Must Be Received At Least 30 Days In Advance. Standard Registration Must Be Received At Least 2 Weeks In Advance Cancellation Policy You must cancel at least 5 days in advance to receive a full refund. Standard Registration Must Be Received At Least 2 Weeks In Advance Cancellation Policy You must cancel at least 5 days in advance to receive a full refund. If you cancel after 5 days prior to the course you will be charged 40. If cancellations are made on the scheduled day of the course no refund will be given* There will be a 25 charge on all returned checks.

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