JOIN US FRIDAY, DECEMBER 12, 2008 FOR OUR 2008 WINTER ST. LOUIS TIMES GERIATRICS SYMPOSIUM!

 

                                                      (Scroll down to register)

 

St. Louis Times Geriatrics Symposium  

 

    Tomorrow's Issues Discussed Today

 

   

Event: 2008 Winter St. Louis Times Geriatrics Symposium

Event Date: Friday, December 12, 2008 

Event Host: University of Missouri - St. Louis / Gerontology Program - School of Social Work

Event Location: E. Desmond Lee Theater 

Register Online By Completing and Submitting the Registration Form Below

(Online registration closes 12/10/2008)

Please note that your online registration serves as your reservation confirmation. On the day of the event simply check in at the Registration table to get your event materials. 

First Name 

Last Name 

Organization

Title

Street Address

P.O. Box

City / State 

 Zip 

Telephone

 Fax

E-Mail Address

College Degree In:

State Your Profession:

 

Fees: All registration fees include attendance at the event, morning refreshments, lunch, networking,

           and parking. An additional $15 fee is required for attendees requesting CEU credits.

           Cancellations should be submitted by phone prior to 12/10/2008 by calling the St. Louis Times

           at 636-225-2442.

 

           Early Registration - $40 (registered online prior to 12/10/2008)

           Students - Free with verification 

           Walk-Ins - $50 (day of the event)

           CEU's - $15 additional fee required. CEU's not available for students

 

Note: If you are registering for more than one person (and intend to pay for their attendance and optional CEU's) please insert the additional name's of the people in your group in the Comments section below.

Comments / Names of Additional Attendees In Your Party
Fees: If registering for more than one person, how many are in your group?
Place "X" here if you are requesting 3.0 CEU credits as a Social Worker
Place "X" here if you are requesting 2.0 CEU credits as a Nursing Home Administrator
Registration Fees: $    CEU Fees: $   Total Fees = $
Payment Options - Payment can be made by MasterCard, Visa or check. If submitting a check please send it to St. Louis Times, P.O. Box 456, Valley Park, MO 63088.

Place an "X" next to the credit card you want used for event charges:           

Credit Card Number:

Name on credit card: Expiration Date:

All registration questions should be directed to the St. Louis Times by calling 636-225-2442.

 

For your records please print a copy of this registration PRIOR TO submitting it.

 

Thank you very much for registering to attend the St. Louis Times Geriatrics Symposium!

 

 

 

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