Connect: Suicide Postvention

Monday, March 12, 2018, 8am – 12pm

Lunch, morning and afternoon refreshments and all participant materials will be provided at no additional cost. Sorry, there are no scholarships for the training day.

Connect: Suicide Postvention Training 2018

Name*
First Last
Company
Email*
Work Phone*
Meal Choice*
Multiple Participants
Name (first & last) Email address Meal choice

If registering mulitple participants please list all participants names, emails and meal choices
Registration Fee*
Price: $25.00
Full cost of $65 per participant is offset by funds from the OHA.
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

Refund Policy: A full refund for registration fees is available until Friday, March 9. A partial refund of 50% is available between March 9 – March 13.

Name (first & last)	Email address	Meal choice