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Rg or fax to: 609-421-2006 NAME ORGANIZATION ADDRESS TOWN/STATE/ZIP PHONE EMAIL CONCURRENT SESSION SELECTIONS Choose one from Sessions 1 6 at 10:30AM 1ST CHOICE 2ND CHOICE Choose one from Sessions 7 12 at 1:40 PM 1ST CHOICE 2ND CHOICE REGISTRATION FEES Single registrant Group rate for 3 or more persons from an agency* NJ Government representative CEU or letter of attendance Total $70 per person $60 per person $60 per person $20 per person $ PAYMENT OPTIONS CREDIT CARD (Visa/Mastercard.

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