Anderson-McQueen
Seminar Registration

The Art of "Companoning" the Mourner: A Workshop for Caregivers
Thursday May 1st, 2008

Yes, I want to attend this valuable workshop
Name:       Affiliation:
Address:
City:        State: Zip:
E-mail:   
Phone (Daytime):   Professional License #:
I will need a certificate for (check all that apply):
NursesLMHCLCSWLMFT
CMEGuardianGeneral
Attendance
Other
Choose your Registration Option:
Early Bird Special - Payment/Registration due by April 1, 2008  $75.00
Full Registration - Payment/Registration due by April 25, 2008  $99.00
LunchYes No

To Pay Online - Complete credit card information below:
Name On Card:      Card Type:
Billing Address:  
City: State: Zip:
Credit Card Number: Exp Date: /

SEND CHECKS PAYABLE TO: Anderson-McQueen
Funeral Homes Attn: Carole McLeod
7820 - 38th Avenue North
St. Petersburg, FL 33710
For more information call Carole McLeod, (727) 347-6636