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 Nursing continuing education $3/hr
User Registration Test
 
Please enter the following information. Starred* items are required.
Enter your name as it should appear on your certificate. Your name cannot be change once it is saved. If you are paying by credit card, enter your billing address as it appears on your statement.

We respect your privacy and therefore do not release your private information to others.
We use industry standard Secured Socket Layer (SSL) technology which is among the best software available today for secure commerce transactions. It encrypts all of your personal data including credit card number, name, and address, so that it cannot be read as the information travels over the Internet.

User Name (case sensitive)*: Max 15 chars
Password (case sensitive)*: Max 15 chars
Confirm Password (case sensitive)*:
 
First Name*:
Last Name*:
Address1*:
Address2:
City*:
State*:
Zip Code*:
License Number (numeric only):
Issuing State:  
Profession,
e.g. RN, LV/LPN, MD, RT, PT, etc:
 
We recommend that you enter your email address as that is how we send receipts of purchase. Email addresses are NEVER shared with anyone.
Email Address*:
Telephone #(including area code):
 
Email Notification Preference:
Send me only those messages related to my purchase. Do not send me any messages about online coupons, special offers or other promotional announcements.
 
Method of Payment (This will be the default payment method used whenever you purchase certificates or special offers):
Online secured credit card
      Name on Credit Card
      Credit Card:  
      Credit Card Number: 
      Expiration Date:  
Credit card information faxed or phoned
Personal check or money order (payable to Rnceus Interactive)
 
Certificate sent by:
Instant online certificate   Surface mail
If you click on the "Register" button and you do not proceed to the next screen, check your Browser's configuration. You will need to have Java Script enabled on your browser.

Once you register and confirm the information, the next screen will show a list of your completed courses and you will have the opportunity to purchase individual certificates of completion, or special offers when available.