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Get Social Work Research Conference Registration Form - University Of ...

E Phone: XXX-XXX-XXXX E-mail Address: Fax: XXX-XXX-XXXX GCSW student: Registration Fees CEU s Up to .925 CEUs Provide last 4 digits of Social Security Number for CEUs. Lunch (check one): Meat Veggie Last 4 digits of Social Security #: Friday, December 7, 2012 9:00 a.m. - 4:30 p.m. Day 1(Please check): No $25.00 fee includes registration (2 days), CEUs and meals Registration Check: Yes ZIP Code Saturday, December 8, 2012 9:00 a.m. - 12:00 Noon Conference registration Day 2 (P.

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