Advanced CIMA Registration | Stephen Gilligan

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Advanced CIMA Supervision 2027 Registration

Payment Type*

$500 Deposit

Pay in Full

Module Attendence (If NOT all four, select modules you will attend)*

All Four Modules

Module 1 (10/1-10/3 2027)

Module 2 (10/29-10/31 2027)

Module 3 (12/3-12/5 2027)

Module 4 (1/7-1/9 2028)

First name*

Last name*

Email*

Phone

City of Residence*

State (If applicable)

Country*

Languages Spoken*

In which areas do you already have Basic Certification? (Check all that apply)*

Generative Trance

Creative Mind

Hero's Journey

Generative Coaching

None of the above

I have not studied with Dr. Gilligan before

Payment Amount*

$500 Deposit$500

All Four Modules$3,195

Three Modules$2,495

Two Modules$1,795

One Module$895

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