This training will take place January 9th 9:00AM-12:00PM at Soin Medical Center.

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* 1. First Name:

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* 2. Last Name:

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* 3. Your agency/organization:

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* 4. Your Position:

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* 5. Your phone:

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* 6. Your E-mail address:

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* 7. Please CAREFULLY confirm your e-mail address from above. This is how we will send directions to the meeting, as well as any changes.

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