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Event Registration

Event Registration -- Choose best option

Member - $75.00 Non-Member - $105.00 Student (must be a member) - $40.00

Your Name, Title, Agency

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Late Registration (After May 10 - Add $15)

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Continuing Education

CEUS -- Choose as many options as apply

Nursing Social Work Chemical Dependency Counseling Psychology

Psychology only -- License #

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OPEG Membership

Membership Fees (One year) -- Choose best option

Individual $30.00 Student $20.00

Students -- List college (OPEG may ask for documentation)

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