Memoir Writing for People with Dissociative Disorders

Name

First Name

Last Name

Phone

(###)

###

####

Have you begun your memoir?

If so, please describe the work you have completed.

What goals do you bring with you to this memoir writing class?

After submitting your Registration Form, please pay here for the Memoir Class.

Cost $280

Cost to Dissociative Writers with Discount $224

Pay here through Paypal
or credit card: