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QCC 18 Registration Information

This course has been submitted to the ASRT for 15 Catagory A continuing education credits
Course Fee:
$275 pre-registered($275 US Dollars for Canadian conferences)/$290 at the door. Tuition includes admission, syllabus, continental breakfasts, breaks and lunch on Saturday.
Payment:
Checks payable to QCC or Credit Card information below.
Send To:
QCC Registration
P.O. Box 512
Pine Vally, CA 91962
Phone:
(619) 473-8832 (8:00am - 4:00pm PST)
Fax:
(619) 473-2052 (24 hours)
Cancellation Policy: Cancellation request must be made in writing at least 7 days prior to Conference. A $50.00 administrative fee will be charged. No refunds will be made after that time.
Reqistration conformation will be sent in writing, upon reciept of registration and payment
  
QCC 18 Registration Form
City of the Seminar you wish to attend:
First Name:
Last Name:
Facility or Hospital name:
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Facility Fax:
Home Address:
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Expiration Date:
To register via fax or regular mail, please click on the button below to print form. Registration by fax requires credit card information.
* When registering by mail please be sure to include check or credit card information.