Registration Form

Search Management Course
SMC
$150.00 In advanced per individual
$175 within two weeks of the class

Refunds for cancellation up to 2 weeks prior to the class. Refunds for cancellations within 2 weeks of the class is up to the discretion of the board. Money is due with registration.

Please print this form, fill it out, and include it with your payment


Name: _____________________________  Agency:_________________________

Address 1:___________________________________________________________

Address 2: ___________________________________________________________

City: __________________________  State: _______  Zip Code_______________

Phone: ______________________  Fax and/or e-mail: _______________________

Amount enclosed: $_______  Please make checks payable to CCSAR .

Mail to:
CCSAR - Treasurer
PO Box 6
Kensington, CT 06037