THIS IS NOT AN ONLINE REGISTRATION FORM - FOR PRINT ONLY            Printed Date: 7/23/2019 1:45:47 PM

Seminar Title:
Dementia: Individualized Care Techniques to Support Nourishment and Hydration
Seminar Date:
Friday, March 29, 2019
Seminar Location:
DEDHAM, MA 02026
Seminar ID:
68635

  Required (select one)
 
$229.99 Single Registration
$199.99 2+ Group Rate: per person
$189.99 5+ Group Rate: per person
$115.00 Student
  ________ HI, NM attendees add applicable sales and local taxes**
  ________ Subtotal (Required items + sales tax)
 
  Optional
 
$49.00 Clinician's Guide to Successful Evaluation and Treatment of Dementia
$199.99 Cognitive Therapy for Dementia: Effective Evaluation & Therapeutic Interventions 012216
$65.00 The Older Adult Psychotherapy Treatment Planner, with DSM-5 Updates, 2nd Edition
$19.99 Mindful Living Card Deck: 56 Practices to Feel Calm, Balanced, Happy & Present
  ________ AL, AR, AZ, CA, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NJ,
NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY attendees add applicable sales and local taxes**
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  ** Tax-exempt customers please send a copy of your tax-exempt certificate.
  *** Registration for coordinator or military member discount must be completed online or by calling (800) 844-8260 during business hours.
  **** All prices are shown in US Dollars ****
 
 

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PESI Rehab, P.O. Box 1000, Eau Claire, WI 54702-1000      (800) 554-9775 (fax number)