BRI Seminars Registration Form

Send payments to:
Biofeedback Resources International
109 Croton Ave, 2nd Fl, #5
Ossining, NY 10562-5102

FAX: 914-762-2281

Please fill out the information and return. Print all information
Name as you would like it for the certification with any initials or credentials

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We require $300 deposit when you sign up for the program.
The balance is due 14 days prior to the start date of the program.
We accept VISA, Master Card, AMEX or you can send us a check.

By signing below, Client acknowledges receipt of, and agrees to be bound by, the “Terms and Conditions for Training and Seminar Services Administered by Biofeedback Resources International Corporation,” (“Terms and Conditions”) a copy of which is available on BRI’s website:, and Client agrees to the terms specified above. Please note that the Terms and Conditions are subject to change. By scheduling and/or registering for a Seminar, Client agrees to be bound by the then current version of these Terms and Conditions.

Cancellation Policy:

Cancellations must be received in writing two weeks before the course date. An administrative fee of $50.00 will be charged. We reserve the right to cancel. Although cancellation is extremely unlikely, should it be necessary, deposits will be refunded. We cannot be held responsible for restricted or non-refundable airfares.

For further info call 1-877-669-6463 / 914-762-4646 or email