Online Laser Training Registration Form


  • PROFESSIONAL MEDICAL EDUCATION ASSOCIATION, INC.
    USE THIS PAGE TO ELECTRONICALLY REGISTER FOR ONLINE COURSES.
    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 Home-Study/Online Courses
    (use the separate form for In-Person Laser Seminars)

     

    Once you have registered you will receive an email confirmation and directions within about 24 hours. Payment must be received prior to starting course.
    You'll set up your own password online with the email address you provided below.
    Course Manual and Slide Handouts are available as a download from the first slide in the first module of the course. Don't forget to download them.

  • 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.
  • If you select the 2+ persons option, enter names & emails in the box below. You can also just call us later with the names & emails. If you buy the one person program, you have 30 days to add the second person for the discounted price.

  • Additional Students for the Programs: Please list their names as they should appear on Certificates, and a unique email to set them up. You can also call our office to add later. Make sure the email address is CORRECT. Up to 5 total additional are included in the "2+" Course Selections. An additional fee of $125 per person will apply past the initial 2 persons. You can add these people at any time in the future-no limit.
    Enter either Purchase Order number or Credit Card info. No payment is required for "Free Previews." Students will have access to the online program after payment has been received for the Purchase Order. Otherwise please use CC for quicker access.
  •  laser training courses payment methods
  • Format: 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

  • You will access to the program in 24 hours or less after your order has been processed.

Subscribe To Our Newsletter

Subscribe To Our Newsletter

Join our mailing list to receive the latest industry news and updates about new classes, locations, and special promotions only available to email subscribers!

You have Successfully Subscribed!