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Pay By Check or Money Order
This form is for organizations or individuals wishing to pay for their TMHI training via check or money order. You may fill out this form online or print and mail completed form with the payment to the address provided below.
Title of Training Course/Program
Enter full title of training you wish to purchase. For Example: 101 - Introduction to Telemental Health Theory & Practice
Your answer
Enter name of contact person for this order.
Your answer
Enter email of contact person for this order.
Your answer
Enter daytime phone number of contact person for this order.
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Enter mailing address.
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Will Continuing Education (CE) Hours be Needed?
Please Note: Webinars are the same cost with or without CE Hours.
Number of Attendees
Enter the number of attendees who will be taking this training.
Your answer
List Names of Attendees & Email Addresses
Please provide the names of attendees and their preferred email addresses. Note: These email addresses will be used to contact the attendees to complete their registration.
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Make Check Payable in the Amount of...
Multiply the number of attendees by the cost of the selected training as seen on or For a Group Rate of 3 or more registrants, please apply a 10% discount. (Example: 3 registrants for the Basic Certificate Program including CEs: $399 x 3 = $1,197 ... $1,197 x .90 = $1,077.30)
Your answer
Make Check Payable to:
TeleMental Health Institute, Inc.
5173 Waring Road, #124
San Diego, CA 92120

When mailing your payment, please make sure to include the contact name and phone number so that we can associate this information with your payment.

Phone - 619-928-2627 • Email -

Instructions for Attendees to Register
Upon receipt of the check or money order, we will contact attendees with a voucher code and further instructions to register for the pre-paid courses (no additional fee).
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