WORKSHOP/ SPEAKING REQUEST
Businesses, non-profits and other organizations who would like to discuss fees and availability, please complete the form. Someone from KPCC will contact you to discuss event details.

Contact kathy@kpcc.com with questions.
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Which type of workshop are you interested in hosting? *
Would you like KPCC to provide CE credits for this workshop? (SW, LPC, RN & Addictions) *
Which of the following do you represent? *
Where will this event take place? *
Preferred Date for Workshop
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/
DD
Alternate Date for Workshop
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/
DD
Will this event be open to the public? *
Required
How many participants do you expect to attend this workshop? *
First and Last Name *
Email Address *
Phone Number *
Sponsoring Agency *
Comments or Questions
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