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Sign up for the 2011 Mental Health & Aging Conference:

Last Name:
First Name:
Title:
Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Intensive: 1st choice:     
2nd choice:  
A Series: 1st choice:   
2nd choice:  
B Series: 1st choice:   
2nd choice:  
Nurse CE:
SW CE:
Days: $210 Two day $135 Tue $135 Wed
REMINDER: Payment due May 10.
Meal(s): I require a vegetarian meal.
Additional Info:
NOTE: IF YOU DON'T RECEIVE A CONFIRMING EMAIL WITHIN 5 DAYS, CALL MATT BEHA AT 517-483-1529.
 

Mental Health and Aging Project at Lansing Community College

Mental Health & Aging Project
Phone: (517) 483-1529
Additional contact information »