Benefits Training

  and Consulting            Webinar Registration Form


 

Register now to reserve your space, payment can be sent afterward.  A receipt will be emailed when payment is accepted by our bank.

 

The registration fee is $68.00 per person.  This fee allows you attend the two sessions of "The PASS" webinar. 

 

Payment must be received prior to the first session you plan to attend.

 

             Name:      Title: 

Organization: 

 PO or Street: 

                City:     State:      Zip: 

 

Phone: (area code & number)       Fax: (area code & number) 

Email Address: 

   This email address must be used to log on to each session and to receive emails with attachments (training packets).

 

Referred by:    

 

Comment: 

 

Mail Payment To:   Benefits Training and Consulting

                               P.O. Box 40,  Oxford, PA  19363

 

Fax Order To:    (610) 932-0428                

Make check payable to Benefits Training and Consulting

 

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Revised: 04/01/22.