Last Name:
 First Name
E-mail Address:
Area Code
 Phone Number:
License Type
Licence #
Register me for the following seminar(s).
LPN IV Certification - Full Course or Challenge Course
To register for these course click here: LPN IV Certification
IV Techniques for MAs, RTs and other Heathcare Professionals $274 .00
RN IV Refresher $275.00
PICC/ML  Insertion & Care Seminar Including UZ Guided
Insertion $749.00
LPN Laboratory Practice Day - LPN IV Authority Reinstatement $275
Issuance of duplicate certificate or proof of completion of one of our courses
within the previous 3 years. $30.00
Issuance of duplicate certificate or proof of completion of one of our courses
greater than 3 years prior. $50.00
Date(s) of Course:
Payment Information:
Check  
Once registration is submitted mail check
to: Carolynn Cassutt Consulting, Inc
7563 S Salida Court
Centennial, Colorado 80016

Checks returned NSF will be subject to a $30.00 fee
 Credit Card
Once registration is submitted click
on the Pay Now Link next to the
course to submit payment
Total Payment:
Comments:
If payment is to be made under
another name, please indicate
here the name of the registered
person and the name of the
payee. Thank you!
Make sure you submit an email address with registration information so
that we may respond back to you. We will email a response back within
72 hours of receipt.

Once registration and payment are received we will email you
confirmation of registration and a receipt.

Registration fees less $30.00 will be refunded if cancellation is received
at least 5 working days  prior to course. There is a $30.00 charge to
change registration. No refund will be granted for cancellations received
less than 5 business days in advance of seminar.
Registration Form