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Registration for LATPO Annual Spring Meeting 2010 Course Fee: $75.00 (includes membership fee) $50.00 (for members only) Name:___________________________________ Address:__________________________________ _________________________________________ EMAIL ADDRESS:_____________________________ Telephone #:______________________________ Employer Name:___________________________ JCAHPO Certified: __________No __________COA ________COT ________COMT ________Other Make check payable to: LATPO 70123 Kelly Rd., Mandeville, LA 70471 contact: loyacano_n@yahoo.com for questions |
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