Registration Form for NAR At Home With Diversity
COURSE: At Home With Diversity
INSTRUCTOR: Faten Elmokdad
DATE: Thursday, August 20, 2020
TIME: 9:00am - 5:30pm
LOCATION: Live Virtual Classroom on the Zoom Platform

COST:
Members | $139
Non-Members | $169

After completion of the course, students earn (6) ELECTIVE CE CREDITS and will be emailed instructions on how to earn the official certification. The certification fee is $75 (not included in price of course).
Sign in to Google to save your progress. Learn more
To register for the course, please submit this form and payment. One form per person is required.
NRDS # *
First Name *
Last Name *
Company Name *
Company Street Address *
Company City *
Company State *
Company Zip Code *
Company Country *
Email *
Phone *
Fax
License Type *
License Number (7 digits) *
Cell Phone *
Total Due: *
Payment Method *
Please note that NO REFUNDS will be issued as per Tri-County's Education Policies and Procedures. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy