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ASHA

CE Administrator
Diana Seabeck, M.S., CCC-SLP

2533 E. Park Avenue


Laramie, WY 82070
Phone: 307.742.7956
Email: djseabeck@gmail.com

INVOICE

To:
(AGENCY NAME AND ADDRESS)

Date: (DATE)

Description

Quantity

Rate

ASHA CE Cooperative
Offering Fee

Amount

$325.00

$325.00

TOTAL

$325.00

The proposed co-sponsored workshop


entitled (TITLE) is a cooperative
continuing education offering, for
which the ASHA fee is $325.00.

Credit card payment can be made in
the electronic application process.

Or in cooperation with the CE
Administrator, it can be mailed to:

ASHA-Continuing Education
P.O. Box 1160 #340
2200 Research Blvd.
Rockville, MD 20849

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