JVB Enterprises Inc. Online Registration Form

JVB Enterprises Inc.

Complete Wound Care Course Registration
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

Complete Wound Care- Select date/location and corresponding charges

October 16-17, 2010 Dallas, Texas
November 13-14, 2010 Charlotte, North Carolina

Early Registration $350.00
Late Registration $375.00 (Less than 7 days prior)

Group Registrations more than 7 days prior to the scheduled course
Group Early Registration $315.00 each for groups of 2 or more - List group attendee names below

Add group attendee names here

Check back often for updated course schedules

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.

Additional comments