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Must include Area Code & Phone # for US numbers.
Use format of 5554441212 - no spaces, hyphens or dots
Choose the Correct Course.If prepaid discounts, "early bird" registration, and/or group discounts are provided, that will be reflected on your invoice or actual credit card charge.   PLUS - type in the course date & city below for clarification:
It should be entered EXACTLY as it should appear on the Certificate
PAYMENT METHOD:         Enter either a Purchase Order # or Credit Card Information  
Payment is due prior to the start of the course, and by submission of this registration I agree to all payment terms of Professional Medical Education Assn which supercede any terms listed in our purchase order.
mm/yy
If I am paying by credit card, I hereby authorize charges to my card for the item(s) ordered
By placing this order and clicking the SUBMIT button below, you acknowledge that you have read the REFUND POLICY and agree with its terms.

Privacy Policy
After you SUBMIT your order we'll followup within 1 business day after we've processed your registration.
All registrations are manually processed by staff so your card is not automatically charged.
Please type the txt into the box. Then SUBMIT.
PROFESSIONAL MEDICAL EDUCATION ASSOCIATION, INC.
USE THIS PAGE TO ELECTRONICALLY REGISTER FOR SEMINARS.
Electronic Registration form - all Seminars (or just the ANSI Standards alone)
(use the separate form for Online Training)

Once you have registered you will receive an email confirmation within about 1 business day.

NOTE: If you prefer to download a PDF Registration form and send back to us. CLICK HERE.
We understand that this form doesn't load correctly in some hospital systems. We think it has something to do with I.T. blocks on some php forms like this but not sure. We prefer that you use this form, but if not just download and use the PDF. You can always call us at 01-614-883-1739.