Yes! Please register me for SASEAP 2017!
September 15-17, 2017 at the Embassy Suites in Myrtle Beach, SC




name title


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I will attending the ___ Basic EP Track ___ Advanced EP Track___ Clinic Track (check only one).

Workshop registration is $299.00 ($275.00 on or before August 14). You can pay by check or credit card. Send checks to the address below. Fill out the form below to pay by credit card and fax or mail the form to us.


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billing address (if different from above)

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You can fax this form to (919) 846-1431 (no cover sheet required), or mail it to: SASEAP, 8009 Shellnut Rd., Raleigh, NC 27615. (The fax is in a secure location, so your credit card information is safe.)