Registration Form

The Wellspring Review Helping Counselors Since 1987

Making Licensure Dreams A Reality

Registration Form

Download 2010 Registration & Order Form

OR Print this page and mail to:
The Wellspring Review, 1132 West Blanco, San Antonio, Texas 78232

Or fax to 210-492-2630.Or by telephone 1-800-898-9393.

Or visit our SHOP page to register or order on-line.

We accept checks, money orders, Visa, MasterCard, American Express, and Discover.

Name _____________________________________________
Address ___________________________________________
__________________________________________________
Email: ____________________________________________
Telephone _________________________________________

All courses are held on a Saturday, 9:30-5:30/6 (depending on class questions).
I will attend the following 2010 Wellspring Review: (Please circle date.)

Austin:
April 17       June 12       August 14       December 4

Dallas/Ft Worth:
April 24    June 26    August 28    Oct. 23    December 18

Houston:
March 6     May 15     July 10     September 11    November 6

San Antonio:
March 20   May 22    July 24   September 25   November 20

Visit our Course Location page for review course site address, phone number, and web site link for driving direction information.

___ $295 Study Course includes text, 750-question CD, and personalized instruction.
___ $95 Refresher Course ($145 with purchase of new text; $185 for text & CD) Need to provide date of previous Wellspring course attended.

Available for Separate Purchase (Prices include sales tax )

___ $75 The Wellspring Study Guide Text for the NCE, copyright 2009/10
___ $15 Texas LPC-Intern Handbook, copyright 2008
___ $55 750-question CD for NCE & PCLE, copyright 2005
___ $50 100-question Research & Statistics Tutorial CD, copyright 2004
___ $80 Flash Card Set (10 Flip Books), copyright 2009

Shipping and Handling (USPS Priority Mail. Call for other options & pricing)

___ $ 15 Text or text & any or all other item; Flash Card Set
___ $ 10 CD or CDs and LPC-Intern Handbook (Handbook for Texas only)

_______ TOTAL
Prices are in effect for the above courses and materials as of January 3, 2010. Prices may change without notice.

VISA, MC, AMEX or Discover # _________________________________

Expiration Date _____________________________________________
Signature __________________________________________________

Return Policy You may purchase merchandise from this Web site by using any one of the payment options listed.The Wellspring Review reserves the right to change its payment procedures at any time without prior notice to you. No credit will be issued for registering to take one of our live instruction courses if you do not attend. However, you will be offered a spot at a future course offered within 12 months of the original course date with no other fees, regardless of possible increases in course costs or updates to materials.