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Professional Development Seminar Registration


Items in bold must be filled out. Select as many seminars as you want. Send your deposit check to Lake Erie College, Attn: Professional Seminars, 391 West Washington Street, Painesville, OH 44077.

Please provide the following contact information:

Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

E-mail

Social Security #

   
 

Seminars You Want to Attend:

 

Enter the Class ED Number and Title for each seminar you want to attend...

Seminar #1

*Required

Seminar #2

Seminar #3

Seminar #4

  $25 non-refundable deposit is required for each seminar
which is applied toward the seminar fees.

Method of Payment


I'll send a check

Call me for Credit Card Info

Additional questions or comments

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Lake Erie College • 391 West Washington Street • Painesville, Ohio 44077
440.296.1856 • 440.942.3872 • 800.533.4996
Fax: 440.375.7005
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