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POC centered SAR with Bianca I Laureano, MA, CSE Registration Form 2018
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Email address (we will send invoice and address to this email)
*
Your answer
Pronouns
*
Your answer
Are there any accommodations you will need to fully participate?
Your answer
For questions contact Bianca at
LatiNegraSexologist@gmail.com
Your answer
We are working to offer AASECT CEUs. Are you interested in CEUs for this SAR?
*
YES! I need CEUs
I'm not sure, but it may not hurt to take them!
No.
Full payment is expected by72 hours before the POCc SAR via paypal at
www.paypal.me/BiancaLaureano
. If you need to do a check for work or reimbursement you must contact Bianca at
LatiNegraSexologist@gmail.com
. An invoice will be generated and submitted to each registrant.
Your answer
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