Event Registration
Enlightened Professionals
Office: 860-232-3331
Toll Free: 888-268-3331
Email: event.producers@epllc.org
You may register by completing and submitting this form online and paying through Paypal or mail this completed form and your check to Enlightened Professionals, 41 Crossroads Plaza Box 144, West Hartford, CT. 06117

Tel: (860) 232-3331 Fax: (860) 232-3331
Email: event.producers@epllc.org

Event*:


Name*:


Email*:


Business:


Address:


City:


State & Zip:


Telephone*:


Number of Attendees*:


Name of Attendees:


Payment Type*:
Check in Mail Paypal (Online) Will Contact Event Producers

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