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Registration for 2024 WVCIA Spring Meeting
Please complete the registration to attend the WVCIA Spring Meeting April 5 from 9am-4pm at New River CTC, Beaver Campus, 280 University Dr. Beaver WV.
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Full Name
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Your answer
Institution / Agency Name:
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Your answer
Job Title
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Your answer
Email Address:
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Your answer
Address: (Please note street, city & state)
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Your answer
Phone Number:
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Your answer
Are you a WVCIA member who needs a hotel on April 4 for 1 night? (Country Inn & Suites by Radisson, 2120 Harper Rd., Beckley WV) We will make the reservation and contact you.
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Yes
No
What CEs are you seeking? CEs pending.
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Social Work
Addiction & Prevention
LPC
Other:
What are you credentials?
Your answer
Do you have food allergies or dietary restrictions? (We will do our best to accommodate and we ask that you keep it simple).
Your answer
Any other accommodations or requests?
Your answer
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