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IF YOUR NAME IS NOT ON THE LIST, PLEASE REGISTER AND PAY HERE
NAME
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EMAIL ADDRESS
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COMPANY NAME
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ARE YOU A MEMBER OF MHISC?
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I am a member of MHISC
I am NOT a member of MHISC
ARE YOU REGISTERING FOR CONTINUING EDUCATION CREDIT?
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Yes, I am registering for CE credit
No, I am NOT registering for CE credit
SCMHB LICENSE NUMBER
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COMPANY ADDRESS
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CITY
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STATE
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ZIP
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Which meeting are you registering for?
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SPECIAL EVENT REGISTRATION (U)
All members are welcome to attend any and all chapter meetings. CE credit can only be given once for each course.
Which meeting are you registering for?
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SPECIAL EVENT REGISTRATION (U)
All members are welcome to attend any and all chapter meetings. CE credit can only be given once for each course.
TOTAL
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PAYMENT
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