Department of Occupational Therapy
9th Annual Continuing Education Program for Alumni & Colleagues

Event Registration Information

Please print out registration form and complete.  Mail the registration form along with registration fee to address listed below.

Registration deadline is November 25, 2009

Registration Fees

General Participants $125.00
Occupational Therapy Alumni 99.00
TJU/TJUH/JSHP Employees, Fieldwork Educators
within the past two years, Non-TJU Students
99.00
TJU Students 20.00
TJU OT Alumni Class of ’89 and ’99 FREE!

Payment

By Check:  Please make check payable to “Thomas Jefferson University

Mail to:

Eneida Nieves
Thomas Jefferson University
Department of Occupational Therapy
130 South 9th Street, Suite 810
Philadelphia, PA 19107

AMOUNT ENCLOSED:              $125.00                $99.00                $20.00

By Credit Card:  Please email or FAX the completed registration form and call Eneida Nieves at (215) 503-8010 to provide credit card information to finalize registration.

**Confirmation will be e-mailed

Cancellation Policy

Accepted until Monday, November 30, 2009 with $25.00 cancellation fee.

For More Information

Call Eneida Nieves at (215) 503-8010 or email eneida.nieves@jefferson.edu


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