Last Name:
First Name
E-mail Address:
Area Code:
Phone Number
Title or License Type - For Certificate
Licence #
If applicable
Register me for the following
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. $259.00
PICC/ML  Insertion, Care & Troubleshooting Seminar
LPN IV Authority Reinstatement  - Lab Practicum $259.00
RN IV Refresher
LPN Laboratory Practice Day - $259.00
Seminar Date(s):
Payment Information:
Once registration is submitted mail check
Carolynn Cassutt Consulting, Inc
7563 S Salida Court
Centennial, Colorado 80016

Checks returned NSF will be subject to a $30.00
Credit Card through PayPal
Once registration is submitted click
on the PayPal Link next to the
course to submit payment
Total Payment:
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.