Registration Form
NEPCSA Professional Development Seminars
April 27, 2018
Porter and Chester, Worcester, MA
School/Company
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Address
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State
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Zip Code
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Please choose one class. If you are registering as a sponsor, please check boxes below.
Name # 1
*
Please Choose One Class >
Career Services
Soft Skills
Email # 1
*
Name # 2
Please Choose One Class >
Career Services
Soft Skills
Email # 2
Name # 3
Please Choose One Class >
Career Services
Soft Skills
Email # 3
Name # 4
Please Choose One Class >
Career Services
Soft Skills
Email # 4
Name # 5
Please Choose One Class >
Career Services
Soft Skills
Email # 5
Name # 6
Please Choose One Class >
Career Services
Soft Skills
Email # 6
School Fees: Members: $75.00; Non Members: $150.00;
# Members
Total Members
# Non-Members
Total Non Members
Sponsorship Information: Fee = $300
We are registering as a sponsor
=
Please use the logo and company description you have on file.
We will forward a logo and a 20-word description of our services to julia@nepcsa.org.
Total Fees
Payment
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First Name
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Last Name
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Email
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Account Number
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Security #
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Billing Zip
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