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OOD UNIVERSITY R E G I ST R AT I O N F O R M PROGRAM FEE INFORMATION: $100 if registered by May 11, 2012 $125 if registered after May 11, 2012 REGISTRATION FEE INCLUDES: LIGHT MORNING REFRESHMENTS, COURSE MATERIALS, ALL RELATED CONTINUING EDUCATION CREDITS, AND LUNCH. c CHARGE TO: Master Card Visa Author. # 3-Digit Security Code Expir. Date Signature Discover c BILL AGENCY Authorization letter must be attached. Agency registrations will not be processed without letter of auth.

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