Continuing Education

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Information Session and Workshop Reservation

Instructions: Please complete the form below to help us anticipate the number of guests to expect. When your information is received, you will receive a confirmation e-mail from a Penn State representative. If you need assistance or would like to R.S.V.P. by phone, call 800-228-1627.

Events
Select the event for which you are registering:*
Contact Information
First name:*	Middle initial:	Last name:*
Home address:*		Line 2:
City/province:*		ZIP code:* +4 (optional):
Daytime phone:*		Fax number:
Yes, it is okay to call me. No, please do not call.
E-mail address:*
May we contact you at this e-mail address?* Yes No
By providing your e-mail address, you are authorizing Penn State faculty and staff to contact you by e-mail for administrative and course-related matters, including the status of your request.
As new information about programs becomes available, Penn State representatives can call you with updates. If you do not wish to be contacted by phone for this purpose, please check no. Calls about updates? Yes No
Comments/Questions

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