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SEMINAR REGISTRATION
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Please return the registration form and fee no later than ten days before the seminar you wish to attend. each participant must complete this form. Make copies as needed.
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SEMINAR REGISTRATION FORM
Participant's Name:__________________________________________________________
Facility Name:__________________________________________________________
Facility Address:_________________________________________________________
Home Phone:__________________________________________________________
Work Phone:___________________________________________________________
E-mail:___________________________________________________________
PLEASE CHECK THE SEMINARS YOU WILL BE ATTENDING:
_____Taking the Write Path ($165)
Thursday, September 14, 2006
Greenbrook Manor, Greenbrook, NJ
_____Introduction to Horticultural Therapy ($75)
Thursday, September, 28, 2006
Daughter's of Miriam, Clifton, NJ
_____Mangement Mania ($150)
Tuesday, October 17, 2006
Daughter's of Miriam, Clifton, NJ
_____Mangement Mania ($150)
Wednesday, October 25, 2006
Brookside Assisted Living, Freehold, NJ
PAYMENT:
Check or money order should be made payble to: Re-Creative Resources, Inc.
CONFIRMATION:
You will receive driving directions as a confirmation of your registration.
CANCELLATION POLICY:
Cancellations are refundable less a $15 administrative charge within 4 days of the seminar. No refunds will be given after the cancellation deadline.
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TO REGISTER ON-LINE
Copy and paste the registration form into an e-mail and send to:
Payment must be mailed. See mailing address below.
TO REGISTER VIA MAIL
Print the registration form and mail, along with payment to:
Re-Creative Resources, Inc.
c/o Kimberly Grandal
31 Ivy Street
Clark, NJ 07066
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