Pasadena California 2012 - Fill out this form and when you click on the "submit button" on the bottom it will send your information to  Stephanie Tadlock R.EEG T.,CNIM at  stadlock@wset.org then a new page will open and give you 2 options of payment.

1. You will get an address to "snail mail" your payment
2. You will have the option to "pay online" with PayPal

Any questions can be sent to Stephanie Tadlock at STadlock@wset.org

Company Name
Company Address
Company City
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Company Phone Number
Company Fax Number
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Website Address
Contact Person: (Will not be published on Website)
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Payment	Paying by PayPal Sending Payment USPS $750.00 Registration $50.00 Late fee Additional Associates Attending
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