Laser Training Seminar Registration Form

    Credit Card Payments accepted below. Checks are made to Professional Medical Education Assn, and mailed to:  PO Box 997, Grove City, OH 43123. You may also Print Out and Complete this form, then mail to the address above or fax to 305-946-0232
    Electronic Registration form - all Seminars (use the separate form for Online Training) Once you have registered you will receive an email confirmation within about 24 hours.
  • Confirmation, and any course materials will be sent electronically via email to this address, in addition to any course status updates. Watch for emails from "Hightail" in your Spam folder.
  • Must include Area Code & Phone # for US numbers. Use format 5554441212-no spaces, hypens or dots.
    Choose the correct course. If prepaid discounts and/or bonuses are provided, that will be reflected on your invoice or actual credit card change. PLUS-type in the course date & city below for clarification.
    THESE ARE OPTIONAL $155 (American National Standards Institute-Z136.3 Safe Use of Lasers in Health Care Facilities) Only 1 set is required per facility, no per person. Primarily for LSO courses.
    You MUST request the Certification exam either at the time of registration, or no later than one week prior to the course, in order to have an exam available for you to take. NOTE: Call us if you want to take more than one type of exam.
  • All discounts will be applied before final processing of your payment.
  • 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 supersedes any terms in our purchase order.
  •  laser training courses payment methods
  • 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.

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  • After you SUBMIT your order, we will follow up within 24 hours after we've processed your registration. All registrations are manually processed by our staff.