JVB Enterprises Inc. Online Registration Form

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 Course: Assessment and Treatment of Age Related Balance Impairment

Home Study Course $89.00

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. Please copy this for your records.

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