Thursdays Beginning January 12, 2017 $175.00 Please use the form below to register. If you choose to pay by Pay Pal or credit card, you will be taken to Pay Pal to complete payment. Note, you can use your credit card with Pay Pal if you do not have or do not want to use a Pay Pal account. Download the flyer Please fill out separate form for each attendee. Name of Attendee* First Last Firm/CompanyAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* PhoneCertificate requests I request a MCLE/CLE Certificate I request a CCLS Certificate Are you interested in hearing about SCCOLPA volunteer opportunities?YesNoTopic SuggestionGeneral CommentsPayment Method*By Pay Pal or Credit CardBy CheckCourse Cost Price: $175.00 Total $0.00 Course Cost$175.00Are you interested in becoming a member?Yes, I am interested in becoming a memberNo, not at this timeNOTE: Cancellations must be received 24 hours in advance of the first class for a refund. No-Shows will be billed. NOTE: Cancellations must be received 24 hours in advance of the first classfor a refund. No-Shows will be billed. Once you submit this form, you will be sent an e-mail that you can print and send it with your check.Attendees are required to attend each session to obtain a Certificate of Completion. 6.0 hours of CCLS credit to be offered for entire 8-week workshop. Light snacks and beverages provided.
