CONTINUING EDUCATION, INC. - Cruise Program Registration

	800.422.0711 727.526.1571

Cruise Conference Planning For Your Association

OUR OFFICE HOURS

Mon-Fri 9:00am-5:00pm EST

Sat 10:00am-2:00pm EST

Continuing Education, Inc.

University at Sea^®

5700 4th St. N.

St Petersburg,

Florida

33703

Registration - Page 1

Please Complete the Following (Step 1 of 2)

First Name * Last Name *
Professional Degree * Email *
Preferred Telephone * Alternate Telephone
Address 1 * Address Line 2 (if any)
City * State *
Zip/Post Code * Country of Residence *
Citizenship Date of Birth*
Your General Interest * Primary Practice Area *
Other Area of Interest
Yes. Please send e-mail notices of new and upcoming programs.
No, thanks. I would rather not receive e-mail notices.

* You must be at least 21 years old to register for this cruise. Children 6 months and older must be accompanied by an adult.