CTN Educational Services Online Registration

 

Online Registration - Las Vegas CEU's

If you would like to register for CEU classes online, please fill out the registration form below and click the 'Submit Registration' button.

When we receive your completed registration form, we will mail you a confirmation notice with an invoice for the class(es) you plan to attend. You may also register by telephone by calling our office at 512.829.5114.


We accept Visa, MasterCard, American Express, Discover, Purchase Orders or Checks.



Name, Email, Address, City, State, ZIP, Phone Number, and SPCS License Number are all required prior to submitting this form.

Company Information:
Company:   
Address:   
City:   
State / Zip:    /
Phone:   
Fax:   
Email:   
 
Registrant Information:
Name:   
SPCS License #:   
License Categories:   
Expiration Date:   
NVDA License #:   
NVDA Expiration:   
 
Class Selection: (Select classes to enroll in)
 
City and Date:
NV Category Date/Time Course Description

The fee for the first day is $100.00 and $120.00 for the 2 day classes on the dates below.

TOTAL AMOUNT DUE:
$.
One Day ONLY $100 Dec. 15 8:00am - 2:45pm Licensee school registration
(6 CEU credits for 2014)
Two Day Class $120 Dec. 15 8:00am - 5:00pm
Dec. 16 8:00am - 12:00pm
Licensee school registration
(12 CEU credits for 2014)
Two Day RUP Certification Class $120 Dec. 15 8:00am - 5:00pm
Dec. 16 8:00am - 12:00pm
Payment Information:
Payment Type:    Credit Card (Visa or MC only)

Check Number
Purchase Order Number
Credit Card, Chk, or P.O.#:
Expiration:   
CVV Security Code:    The three digit number can be found on the back of your credit card.
 

 

CTN Educational Services · PO Box 1246 · Dripping Springs, TX 78620
Ph: 512.829.5114 · Fx: 512.829.5129 · Email