CAGP Needs Assessment Workshop
Registration Form
Name: _____________________________________________
Organization: ______________________________________
Email Address: _____________________________________
Telephone Number: _________________________________
check number: _____________________________________
- Deadline for Needs Assessment Workshop Registration and Payment:
Jan. 15th
- Workshop fee: $40.00.
- Make check payable to: Dr. Linda Karges-Bone
- Bring check to: Jan. 15th CAGP Meeting
- If you are NOT attending the CAGP Meeting,
Mail check & registration form to:
Carolyn Lackey - CAGP
PO Box 60872
North Charleston, SC 29419
**Check MUST be received by Jan. 15th so please mail it in plenty of time to be sure it arrives by the deadline.