Dodge Technical Seminar
November 14 & 15, 2024
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Is this your first time attending a Dodge Seminar?
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Registration - All additional attendees must be from the same organization to get the discounted rate. Add additional attendees on next page.
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Both Days - Registration - After 10/14/2024
$
585.00
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Thursday Only - Registration - After 10/14/2024
After 10/6/24
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475.00
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365.00
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Students Only - Must Provide School ID
Please send a copy of your Student ID to mmarsan@dodgeco.com
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120.00
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To pay by check: (U.S. Dollars, please) - made payable to The Dodge Institute and mailed to The Dodge Institute for Advanced Mortuary Studies, 9 Progress Road, Billerica, MA 01821. Please mail a copy of the form along with your payment that you will receive in your confirmation email.
Registration Cancellation Policy: On/before 11/1: 100% registrations fee refunded. After 11/1: $100 cancellation fee will apply.
Cancellation must be made in writing via email (mmarsan@dodgeco.com) or USPS mail to The Dodge Institute for Advanced Mortuary Studies, 9 Progress Road, Billerica, MA 01821.
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Additional Attendees
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License State & #
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Is this your first time attending a Dodge Seminar?
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Name
First Name
Last Name
License State & #
License State & #
License State & #
License State & #
Email
example@example.com
Name for Badge
example@example.com
Is this your first time attending a Dodge Seminar?
Yes
No
Name
First Name
Last Name
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License State & #
License State & #
License State & #
Email
example@example.com
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Is this your first time attending a Dodge Seminar?
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If you need to register additional people, please contact Michelle Marsan at mmarsan@dodgeco.com
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