Florence Cellar Conference Name Degree(s) Position/Title Organization Address City State Zip Daytime Phone Email Dietary Restrictions Registration Fee $175 - General $150 - Early Bird (register by September 15, 2022) $125 - Multiple (from same organization) $75 - Senior Citizen (62 years +) $75 - Full-Time Student (school photo ID required) Limited Scholarships A limited number of scholarships available for full-time students and senior citizens – call (216-368-2692) for further information. Total Number of Registrants Registrant Names Patron Contribution (Names will be featured in the program. Your donation helps support student and senior citizen registrations.) Total I am requesting confirmation of continuing education for: Nurse Nursing Home Administrator Social Worker/Counselor Psychologist Certificate of Attendance Other… Enter other… Submit Leave this field blank Save
Florence Cellar Conference Name Degree(s) Position/Title Organization Address City State Zip Daytime Phone Email Dietary Restrictions Registration Fee $175 - General $150 - Early Bird (register by September 15, 2022) $125 - Multiple (from same organization) $75 - Senior Citizen (62 years +) $75 - Full-Time Student (school photo ID required) Limited Scholarships A limited number of scholarships available for full-time students and senior citizens – call (216-368-2692) for further information. Total Number of Registrants Registrant Names Patron Contribution (Names will be featured in the program. Your donation helps support student and senior citizen registrations.) Total I am requesting confirmation of continuing education for: Nurse Nursing Home Administrator Social Worker/Counselor Psychologist Certificate of Attendance Other… Enter other… Submit Leave this field blank Save
