WBCEFT Registration
PLEASE NOTE: Registration is not complete until a deposit is made through the Paypal drop-down menu below.
First Name *
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Last Name *
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Address 1
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Address 2
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City
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State
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Zip Code
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Email address *
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Cell Phone Number
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Professional Affiliation
EFT Training Experience
Registration for *
Payment Type *
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Please read and agree to the following *
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