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Online Registration Form

Online Registration - Opioid Crisis - Thursday, October 19, 2017

Are you a member of the Capital Chapter ISCEBS?

Please print and complete the below form and bring your check and registration with you on the day of the event.

By Check:

Click the "Submit Registration" button and you will de directed to PayPal.

By Credit Card:

Payment Instructions

Note: Please email the chapter at support@capital-chapter-iscebs.org to advise that you are proving a check for payment.

 

 
To ensure that you are a real person and not a spam robot,
please answer the following math problem: =

 

 

 

  


Contact Us:                                                                               

Sue Andres, Capital Chapter Program Staff Member          

Email:  support@capital-chapter-iscebs.org                           

Phone:  202-621-0655    

 


                                                                                                  

 

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