TUITION: REGULAR: $445.00, LCA MEMBER $425.00
NAME: _________________________________________________________________________________________________________
_________________________________________________________________________________________________________
HOME / WORK /CELL PHONE:
_______________________________________________________________________________________________________
E-MAIL ADDRESS:
Please print and email the above information to register. Tuition may be paid at the training by cash, check, or money order.
You may use the ZELLE app to pay your tuition by just entering my phone #. Credit Card Invoiced Payments will be accepted with an additional $17.00 service fee for PayPal Processing (please call or e-mail)
For your added convenience, payment plans may be arranged.
GONZALES 1-2 JULY & 22 JULY 2023 8:30 a - 6:00 p
TOWNE PLACE SUITES, OUTFITTER DRIVE, GONZALES
“Counseling & Consulting Services has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6275. Programs that do not qualify for NBCC credit are clearly identified. Counseling & Consulting Services is solely responsible for all aspects of the programs.”
CASH/CHECKS/MONEY ORDERS SHOULD BE PAYABLE TO: STAN MAHAFFEY
621 North Polk Ave, JONESBORO, LA 71251-0601
Cell: 318.237.0711 E-Mail: stanmahaffey1@gmail.com
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