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  • Re G I S T Rat Ion F Orm First Name City Fax Please Submit A Separate Registration Form For Each

Get Re G I S T Rat Ion F Orm First Name City Fax Please Submit A Separate Registration Form For Each

Ificate. No personal credentials will appear on certificates.) Street Address City State Home Phone Fax Organization Primary Field: Work Phone E-mail Apt/Suite # Zip Ext. q Prevention q Treatment q Other How did you hear about us: Which State do you currently work in: In-Person Workshops: Workshop Title Workshop Date q Registered LADC/CADC Counselor Intern ONLY Intern # $25 q Student (6 credits or above) Student ID Required $25 q SAPTA Funded Lic/Cert Alcohol & Drug Counselor $3.

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How to fill out the Re G I S T Rat Ion F Orm First Name City Fax online

Filling out the Re G I S T Rat Ion F Orm is a straightforward process that allows users to register for workshops efficiently. This guide provides a step-by-step approach to completing the form online, ensuring that all necessary information is accurately captured.

Follow the steps to successfully complete your registration form.

  1. Click ‘Get Form’ button to obtain the registration form and open it in your preferred document editor.
  2. Fill in the registrant information section. Begin by entering your first name, middle initial (if applicable), and last name. Ensure that the name provided is clear as it will appear on your certificate.
  3. Continue by inputting your street address, city, state, zip code, and any applicable apartment or suite number. This information is required for proper identification and correspondence.
  4. Provide your contact information including home phone, work phone, fax, email, and organization name. This step is essential for any further communications regarding the workshop.
  5. Indicate your primary field of work by selecting from the options provided: Prevention, Treatment, or Other.
  6. Specify how you learned about the workshops. This information may be useful for program evaluation and outreach purposes.
  7. Select the state in which you currently work to help ensure that the workshops are relevant to your region.
  8. For in-person workshops, choose the workshop title and date you wish to register for. Ensure you check the appropriate registration category that applies to you.
  9. Complete the payment section by totaling the registration fee based on the selected categories. Include your payment method details either through check or credit card.
  10. Review all information entered in the form for accuracy before saving changes, downloading, or printing the completed form.

Start filling out your registration form online today to secure your spot in the upcoming workshop.

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Get Re G I S T Rat Ion F Orm First Name City Fax Please Submit A SeParate Registration Form For Each
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232