Thursday, November 20, 2008
02:40 PM
guests
Offline Registration
To register by mail, print the registration form below. Complete the form and mail with a $50 deposit.
Mail completed form to:
Rinehart and Associates
PO Box 124
Booneville, MS, 38829
Print Registration Form
To register by phone, call
(662) 728-4622 or
(662) 869-5621
Online Registration
NOTE: Red label denotes a required field
First Name:
Last Name:
Address:
City:
St:
Zip:
School:
Zip:
Email:
Phone:
Seminar location that you are planning to Attend:
11/22/2008 North Mississippi
12/01/2008 South Mississippi
12/03/2008 Central Mississippi
12/08/2008 Western Kentucky
12/10/2008 Central Tennessee
12/15/2008 Western Kentucky
12/16/2008 West Central Kentucky
12/18/2008 Central Indiana
01/05/2009 Central Alabama
01/07/2009 Central Florida
01/09/2009 South Georgia
01/17/2009 North Alabama
02/21/2009 North Alabama
PN Review $250 ($50 deposit)
RN Review $300 ($50 deposit)
* Your payment covers the cost of the Live Seminar, printed manual, and CD with over 1000 questions to help you prepare for the exam.
I have read and understand the
Participant's Agreement
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