ONLINE REGISTRATION
FOR SEMINARS / COURSES
Americans with Disability Act
Click here to Submit Registration Application
Contact Information
Professional Title:
First Name:
Terms and Condition
Please check the box below to confirm you have read the terms and conditions for the course, certification exam, and/or manual you desire. Click here to view a new window with the "Terms and Conditions Page"
Education Information
All of our courses/testing examinations intend to fully comply with the ADA. If you need any special assistance please check the box below and indicate the best phone number for an event staff coordinator to contact you. To ensure proper accommodations are made please ensure requests are in 3 weeks prior to event.
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Work Information
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Hospital Privileges
List can be separated using commas or by pressing enter
Member of Professional Associations:
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Medical Degree:
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University of
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Country/State Location of License:
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Sclerotherapy Online Seminars Enrollment
Simple Steps to Complete Enrollment Registration
1. Enter General Information
3. Select the Format of the Course (DVD/On-Location/On-line/ On-Demand)
5. Proceed to Checkout
4. Select your Preferred Method of Payment
2. Select Sclerotherapy type of Course/Seminar/ Certification
Select the Course Type
Please Select Option(s)
Select the FORMAT, you wish:
Cost Per Person To Receive Seminar
5
Next step submit aplication and make payment
Next step, is to submit your aplicacion and make your payment .
Congratulations !
To register, please fill in the following form, with all your personal information, and then press the submit botton, if you have any question please gives us a call, any time Monday to Friday form 9 to 5 pm , EST
(786) - 587 -3202
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