Self-Paced Radiation Safety Registration (Corporate Billing)

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PLEASE NOTE: THIS FORM IS FOR CORPORATE BILLING - WHERE YOU RECEIVE AN INVOICE FOR SUBMISSION TO ACCOUNTS PAYABLE. TO BYPASS THE REGISTRATION AND INVITATION PROCESS, YOU MAY PURCHASE THIS COURSE DIRECTLY THROUGH MIGHTY NETWORKS HERE BY CREDIT CARD: https://veterinary-professional-training.mn.co/

This registration form will provide access to the Self-Paced Online Radiation Safety Certification Course to be completed at the student's convenience. Invitations will be sent to the student's email from Mighty Networks to join the course. An invoice will be sent to the billing contact.

For immediate access, you may purchase directly through Mighty Network at the link above with a credit card.

Email *

Student's First & Last Name *

This is how the name will appear on the certificate. Provided to student in VPT's Mighty Network upon completion.

Student's Email Address *

This is where the course access invitation will be sent. An email will come from Mighty Networks. Please have them keep an eye out for this invitation as it may go to the spam folder.

Hospital/ Clinic Name *

Billing Name *

This is who the invoice will be under. The registration fee for the self-paced course is $367 per registrant. Registration fee is for one student. Certification lasts a lifetime without need for renewal. The student gets lifetime access to the content.

Billing Email Contact *

This is where the invoice will be sent. You will receive an email invoice from Square. Please check the spam folder. You are welcome to pay with a check if preferred.

Would you like to be added to VPT's mailing list to stay tuned in for future offerings and courses? *

Yes

Additional Comments

If you have any further comments or questions, feel free to share them here. Thanks!

A copy of your responses will be emailed to the address you provided.

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