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* 1. Name (first and last):

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* 2. Agency/Organization/School:

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* 3. Phone number:

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* 4. Email:

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* 5. Although lunch will be on your own, breakfast and snacks will be included; please share with us if you have any dietary restrictions

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* 6. Do you currently work in or provide services to families in Arapahoe and/or Douglas Counties, and/or the City of Aurora?  

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* 7. How will you be paying?

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* 8. Quick reminder that the cost for individuals working in (and/or providing services to families in) the Arapahoe and/or Douglas Counties, and/or the city of Aurora is $50.  For those working in/providing services in other areas in Colorado, the cost is $100. 

If you are paying by check, please send check to McNamee & Associates, LLC (PO Box 151104, Lakewood, CO 80215).

If you are paying by credit card, please click on one of these Paypal links (and be sure to put your name in the "notes" section): 

I work in Arapahoe and/or Douglas County, and/or the city of Aurora

I work in another area of Colorado

If you are needing to pay for a group of folks or have any other questions or comments, feel free to share here.

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