Advanced Workshop Registration

Intermediate/Advanced Workshop Registration

Please fill out the form below to register and pay, Items marked with (*) are required

Name*

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Email*

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Address*

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City*

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State*

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Zipcode*

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Degree*

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License #*

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License State*

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Phone*

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Payment Level*

Advanced Workshop - FSCH Member - $425.00 USD

Advanced Workshop - FSCH NEW Life Member - $212.00 USD

Advanced Workshop - Non-Member - $525.00 USD

Advanced Workshop - Student/Intern Member - $300.00 USD

Advanced Workshop - Student/Intern Non-member - $350.00 USD

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Buy Printed Workbook*

YES - $20.00 USD

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Total

$0.00 USD

Anti Spam*

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