Social Work CEU Registration Form

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In order for us to have your certificates on the day of the conference, you must complete the following form. There will be sign in and sign out sheets for each session. Once your obligation has been met, you will receive the certificate. Make sure to bring *cash* to pay for the credits. Those prices are listed below.

Name: *

Email Address: *

Are you attending the conference on: *

October 18, 2019 (7 credits available w/ 6 sessions and keynote) $10

October 19, 2019 (3 credits available w/ 2 sessions and keynote) $ 5

October 18-19, 2019 (10 credits available w/ 8 sessions and 2 keynotes) $15

I understand that I will not receive the certificate (on the day of the conference) that I am registering for if I do not complete the agreed upon amount of credits. I also understand that I must bring "CASH" for the amount that correlates with the number of credits I will be applying for. *

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