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

May 17-18, 2008 Pittsburgh, Pennsylvania
June 14-15, 2008 Houston, Texas
June 28-29, 2008 San Francisco, California
July 26-27, 2008 Washington, D.C.
September 6-7, 2008 Cincinnati, Ohio
October 25-26, 2008 Los Angeles, California

Early Registration $300.00
Late Registration $325.00 (Less than 7 days prior)

Group Registrations more than 7 days prior to the scheduled course
Group Early Registration $270.00 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. Please copy this for your records.

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