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1 , 8:30 A.M.-4 P.M. LATOUR ROOM, NAZARETH STUDENT CENTER, MARYWOOD UNIVERSITY R E G I S T R AT I O N F O R M REGISTRATION NUMBER: #11116 PROGRAM FEE INFORMATION: $95 if registered by March 4, 2011 $125 if registered after March 4, 2011 REGISTRATION FEE INCLUDES: CEUs; DETAILED HANDOUTS; CERTIFICATE OF ATTENDANCE, CONTINENTAL BREAKFAST, AND LUNCH c CHECK (payable to Marywood University) Amount $ c CHARGE TO: Master Card Visa Author. # 3-Digit Security Code Expir. D.

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