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 Nursing continuing education $3/hr
Employer Registration
 
Please enter the following information. Starred* items are required.
Login Information
User Name (case sensitive)*:
Password (case sensitive)*:
Confirm Password (case sensitive)*:

Company Information
(any information entered here will be displayed when job is posted.)
Company Name*:
Company Url:
Contact First Name:
Contact Last Name:
Contact Address Line 1:
Contact Address Line 2:
City:
State:
Zip Code:
Contact Email Address:
Contact Telephone #(including area code):
Contact Telephone ext:
Contact Fax #(including area code):
Prefered contact method from the job applicant
Company Description:

Billing Information
This part is only for payment information and will not be displayed in job postings.
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.

Method of Payment (This will be the default payment method used for billing.):
Online secured credit card
      Name on Credit Card: 
      Billing Address Line 1: 
      Billing Address Line 2: 
      City: 
      State: 
      Zip Code: 
      Credit Card:  
      Credit Card Number: 
      Expiration Date:  
Credit card information faxed or phoned
Free Option: register then call 520-378-2119 activate your free account

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