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SEMINAR
INDIVIDUAL REGISTRATION FORM
ORGANIZATIONS SENDING 5 OR MORE EMPLOYEES SHOULD USE THE ORGANIZATION REGISTRATION FORM
EVENT INFORMATION:
DATE - TUESDAY, JUNE 15, 2010
TIME - 8:00 AM – 4:30 PM
LOCATION - NORTH SHORE HARBOR CENTER
100 HARBOR CENTER BLVD.
SLIDELL, LA 70461
REQUESTS TO CERTIFY A MINIMUM OF FIVE (5) HOURS OF CONTINUING EDUCATION CREDIT ARE PENDING WITH NASW-LA, THE LA BAR ASSOCIATION, LABENFA,
AND THE PROFESSIONAL COUNSELORS ASSOCIATION OF LA. WHEN CONFIRMATION IS RECEIVED, YOU WILL BE NOTIFIED. PLEASE CONTACT THE SALT COUNCIL IF
YOU HAVE ANY QUESTIONS.
REGISTRATION FEES*:
TIMELY LATE
COMPLETE THE INFORMATION BELOW AND MAIL THE COMPLETED FORM WITH CHECK TO:
NAME: _____________________________________________________________________________