JVB Enterprises Inc.

Home Study Course Order Form
Step 1 of 3

Please fill out this form so we have your registration information. When you submit the form you will be sent to our secure checkout page. Your registration is not complete until you finish all steps in the registration process.

Student Information:

NOTE: Fields in red are required fields
 Your privacy is important to us. Please refer to our privacy policy for more information

Name:
E-Mail Address:
Daytime Phone:
Evening Phone:
Street Address:
City:      
State:
Zip Code:
Discipline:
License Number:

Course Selections

Home Study Courses
 
Assessment and Treatment of Age Related Balance Impairment - $125.00
Introduction to Therapeutic Ultrasound - $125.00
Dressed for Success - an Introduction to Wound Dressings - $125.00
Taking Charge of Chronic Wounds - An Introduction to Electrical Stimulation
     and Wound Healing - $125.00
 
How do you want to receive your course selections?
 
Mail me my course selections via postal mail
E-Mail me my username and password so I can take the courses online
Note: Order 2 or more home study courses for $100.00 each. Click here for the discounted rate order form


 

Cancellation/Refund Policy:

Requests for refunds must be submitted in writing. Cancellations received at least 4 weeks prior to the seminar date are eligible for a refund minus a $20 administrative fee. There will be no refunds for cancellations less than 4 weeks before the course, your registration fee will instead be applied toward any future course. This credit does not expire and can also be applied to the Home Study Courses. Please copy this for your records.
 

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