Course Registration

Form Information
Registration Fee:
•$8.00 For 1.0 Credit Hour CE
•$8.50 For 1.5 Credit Hour CE
•$12.00 For 2.0 Credit Hour CE
To begin, please specify the Registrant Type and click an option (or multiple) in the "CE Area of Focus" area to access individual topic titles for purchase. Please be sure to fill out all required information before moving on to payment information.
Refund Policy: Non-Refundable
Requester Information
*First Name:
*Last Name:
*E-Profile ID:
*Address:
*City:
*State:
 
*Phone Number:
 
*Month:
*Day:
*Initial for Acknowledgement - I understand if incomplete/wrong information is submitted it may delay processing:


Course Selection
Up to 15 courses can be selected.