$175 per person. Tuition includes continental breakfast,
beverage service, three hour conference, and a one hour DVD on Telehealth Legal Issues.
Please check here if
you need an ADA accommodation. We will contact you.
Credit Card Payment Online
Cardholder's Billing Address (If
different from Registration Address)
Signature (If you
are printing out form):
Credit Card Payment By Fax, or Mail, or Phone
If you do not wish to submit your credit card information online, please
type the registration and credit card information on the above form online and then print out & fax to (206) 789-0909 or
Carol M. Stock &
Associates, P.O. Box 31114 Seattle WA 98103.
Check or Money Order by Mail
Check or Money Order Enclosed, Payable to Carol M. Stock &
Associates, P.O. Box 31114 Seattle WA 98103
Please type the registration information on the above form online and
then print out & mail, with payment enclosed, to Carol M. Stock & Associates, P.O. Box
31114 Seattle WA 98103.
confirmation: Confirmation of your registration for the seminar will be sent by email, if
email address provided. Otherwise, confirmation
will not be sent.
will be accepted without penalty seven (7) business days prior to the
event. A $50 administration fee will apply to all refunds.
Registrants who fail to attend the program or cancel after the above
time frame shall be liable for the entire conference fee. No
charge will be made for substitutions.