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Presents
Ethics in Action
9238 Madison Blvd. Bldg. 1 Suite 800
Madison, AL 35758
Friday, March 11, 2016
9:00am-4:30pm
Registration Fee: $75.00
Contact Hours- 6
PRE-REGISTRATION IS REQUIRED. THERE WILL BE NO ON-SITE REGISTRATION.
Registration fees must be received by Friday, March 6, 2016
Class is limited to the first 40 registrants. You will be notified if we receive your
registration after all 40 spots have been filled.
Name:_____________________________________________________________________
Address:___________________________________________________________________
Phone:______________________________Email:_________________________________
Request(s) for accommodations:
______________________________________________________________________________
______________________________________________________________________________
Make checks payable to The Balanced Life. Mail check and registration form to:
Dana Hampson
9238 Madison Blvd. Bldg. 1 Suite 800
Madison, AL 35758
Further inquiry contact: dana@thebalancedlifellc.com; 256-258-7777 x 101
“Ethics in Action” has been approved by NBCC for NBCC Credit. The Balanced Life is solely responsible for
all aspects of the program. NBCC Approval No. SP 2631.

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Registration form Ethics in Action 2016

  • 1. Presents Ethics in Action 9238 Madison Blvd. Bldg. 1 Suite 800 Madison, AL 35758 Friday, March 11, 2016 9:00am-4:30pm Registration Fee: $75.00 Contact Hours- 6 PRE-REGISTRATION IS REQUIRED. THERE WILL BE NO ON-SITE REGISTRATION. Registration fees must be received by Friday, March 6, 2016 Class is limited to the first 40 registrants. You will be notified if we receive your registration after all 40 spots have been filled. Name:_____________________________________________________________________ Address:___________________________________________________________________ Phone:______________________________Email:_________________________________ Request(s) for accommodations: ______________________________________________________________________________ ______________________________________________________________________________ Make checks payable to The Balanced Life. Mail check and registration form to: Dana Hampson 9238 Madison Blvd. Bldg. 1 Suite 800 Madison, AL 35758 Further inquiry contact: dana@thebalancedlifellc.com; 256-258-7777 x 101 “Ethics in Action” has been approved by NBCC for NBCC Credit. The Balanced Life is solely responsible for all aspects of the program. NBCC Approval No. SP 2631.