INMED   Institute for International Medicine
Equipping healthcare professionals to serve the forgotten

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  CRISIS RESPONSE TRAINING REGISTRATION  

*First name:
*Last name:
Academic Degree:
If Other Please Describe:
Professional Classification Most Closely Describing:
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Company:
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If you selected "Outside US/Canada", please choose your Country below.
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Alternate E-mail Address:
Occupation:
*How Did You First Hear Of This Training?:
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  GROUP SESSION SELECTION  

*9:30 - 11:30, Group Session #1
    Refuge Sheltering
    Safe Feeding Centers
    Spiritual & Emotional Services
 
*12:30 - 2:30 Group Session #2
    Refuge Sheltering
    Safe Feeding Centers
    Spiritual & Emotional Services
 
  SUBMIT REGISTRATION  

Pre-Registration is preferred. We may not be able to provide meals or accommodate session selections for onsite registrants. Please contact office@inmed.us by March 1, 2012 to receive a refund (less a $20 processing fee). Cancellations after March 1, 2012 and no-shows cannot be refunded.

After submitting this information, you will be directed to a confirmation page where you will be able to make your secure online payment.
 



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