Registration Brew and CEU

Personal Information

Name*

First Last

AARC Number

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Is this your home address?*

Yes
No

Phone

Email*

Enter Email Confirm Email

Employment Information

Facility or School*

Job Function*

if other, If other, identify your employment status or position.

AARC Member Registration

Price: $52.00

Non AARC Member Registration

Price: $65.00

Coupon

If you have been given a coupon code as a thank you for all you do, please put the code in here. You discount will then be applied.

Total

$0.00

Refund Policy*

It is policy of the CTSRC that all cancellations must be submitted in writing, 14 calendar days before the scheduled event to be eligible for a registration fee refund. Refund requests must be made in writing via the "Contact Us" form found under the "About Us" Tab. A $25 administrative fee will be deducted from the refund.

I have read the refund policy.

Payment Choice

When you click REGISTER NOW, you will be directed to the PayPal site to complete your transaction. Payment can be made using a credit card OR Pay Pal account.

Checks must be mailed to:

CTSRC Treasurer

90 Creamery Rd

Durham, CT 06422

Checks must be received 2 weeks before the event (May 4) to be valid.

Name

This field is for validation purposes and should be left unchanged.

Brew & CEUs

Personal Information

Employment Information

Checks must be mailed to:

Checks must be received 2 weeks before the event (May 4) to be valid.