| Title |
|
Member Price
|
Qty. |
Total |
| Safeguarding Your
Career program, including 5 CME credits |
$200 |
|
|
| HIV/AIDS Education
program, including 3 CME credits |
$90 |
|
|
| Domestic Violence
program, including 1 CME credit |
$90 |
|
|
| Medical Ethics program,
including 2 CME credits |
$90 |
|
|
| OSHA Compliance
System |
$130 |
|
|
| Annual OSHA Training
program |
$40 |
|
|
|
Payment Options |
|
|
| |
Total |
|
| |
| Please
Note |
To receive discount prices this Order Form must accompany
your order or call Member Services (800) 221-2168 ext.
5.
Be sure to have your Order Form in hand with your credit
card when you call. |
|
Account#
 |
Expiration Date:
|
|
Name of Cardholder:
|
|
Telephone: ( )
|
Signature:
|
|
Ship
to: |
Mr./Mrs.:
|
Association:
|
Adress:
|
City/State/Zip:
|
Telephone:()
Fax:
()
|
Signature:
|
| Please complete entire Order
Form and mail with payment to:
Association Services
350 Fairway Drive Suite 200
Deerfield Beach FL 33441-1834
Fax Order Form to (954) 571-8582. |
| |
