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WDC Regional Pop Up Registration
* Indicates required question
Email
*
Your email
WDC Pop Up Location Attending
*
Plymouth, Michigan 12/5/2020
Name
*
Your answer
Address
Your answer
Cell Phone
*
Your answer
Do you plan to purchase CE hours?
*
Yes
No
N/A - Michigan Pop Up
State and License # for CE
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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