Stress Reduction - Registration Page

Employee Assistance Services
With you every step of the way.

Life Management Associates
 1848 Charter Lane
Lancaster, PA  17601
info@LMA-EAP.com

 "Health is a complete state of mental, physical and social well-being, not just a lack of disease."
 - World Health Organization -

Registration Form for LMA Evening Series - January, 2009
Payment is due at time of registration.  Deadline is December 31, 2008. 
(We regret that we are unable to give refunds after December 31, 2008)
For individuals / organizations - LMA Business Relationship:
1-2 attendee(s) @ $150.00 per person (# of people attending) Total Fee:
3 or more attendees @ $140.00 per person (# of people attending)  Total Fee:
Using 2 EAP session: Two (2) EAP sessions per series for individuals covered by LMA EAP (must self register)

For individuals / organizations - NON-LMA Business Relationship:

1-2 attendee(s) @ $160.00 per person (# of people attending) Total Fee:
3 or more attendees @ $150.00 per person (# of people attending)  Total Fee:

 

Name: (Required)
Title:
Company: (Required)
Street Address: (Required)
City, State, Zip (Required)
Telephone: (Required)
Fax:
E-mail:
Contact Name: (Required)
(Please fill out the contact name in case of questions or for billing purposes)
Names of Attendees:
Type of Payment: Check - please mail check to
                  Life Management Associates 1848 Charter Lane, Lancaster, PA  17601

 Credit Card - contact Carol Sanchez at 800.327.7770 ext 262 to pay by credit card

Via Email - csanchez@lifemanagement.cc

- Using Two (2) EAP Sessions  
 

 

Submit Your Registration - Thank you.