Please note: ALL fields are required.
Name:Email address:Home Phone Number:Country of residence: Where did you find us?Please select from the list belowAssistU VAChanging CourseCherylRichardson.comEAtoVAeWorkingWomen.comFacebookFriend/ColleagueFoVAInc. MagazineMyDreamCircle.comMyDreamCoach.comMarcia WiederMo BaileyNPRPGCC ClassPractice Pay SolutionsPresentation given by an AssistU VASydni Craig-HartTake Time for Your LifeTime MagazineWoman's Day MagazineWrite4Good.com OtherIf referred by someone or something not mentioned in the list above, please tell us about it here. Please be sure to give us the name of your referrer if s/he is an AssistU VA. If you were referred to us through a presentation given by an AssistU VA, please name the AssistU VA, or you can note the date and name of the event. Date of the call you're registering for: CHOOSE ONEJune 24, 2008July 31, 2008August 28, 2008
IMPORTANT: In order to complete registration, you must pay for the VA Telediscussion once you click the Submit button below.
All registrations not paid for will be considered incomplete and will not be finalized for registration.Please note: In order to prepare for the telediscussion, registration closes at 5:00 PM, Eastern,on the Tuesday before each telediscussion