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PeriFACTS® Online Continuing Education Program
Registration & Renewals Form – One-Year Subscription

Simply fill out this form to sign up or renew individual or group subscriptions to the periFACTS® Online Continuing Education Program for one-year. Upon successful purchase, new participants will be contacted directly to complete an individual or group participant data form within 2 business days to finalize new subscriptions. Each subscription includes new learning activities due each month. Each participant will have the choice of the Obstetrics with Fetal Monitoring program or the Antepartum/Postpartum program, and each program includes two new obstetrics courses for each program every month. Each subscription also includes our Gynecology Course, video, menoPAUSE article, clinical quandary Q&A column, and access to web-lectures, free of charge, each month.

To renew by mail, click here.

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Order Information

Contact Person: * Hospital:
 
Phone Number: Fax Number: Email Address: *
     
Street Address: * Street Address Line 2: Confirm Email Address: *
 
City: * State: * Zip Code: *
     
Country: * How did you hear about us? Registration Type: *
   
Subscription Type: * License Number (Individuals Only): *
   

Subscription Types

Subscriber Type Number
Nurse Participant    
Residents    
Nurse Practitioners    
Nurse Midwives    
Physician Assistants    
Physicians    
Total number of participants: 0
Subscription Total: 0.00
Startup Fee*: $0.00
Total Cost: 0.00
Subscriber Type Total Participants Price Per Subscription (per year)
Nurse Participant 1 - 4 $95.00
5 - 30 $95.00
31 - 50 $93.00
51 - 75 $91.00
76 - 100 $89.00
101 + $87.00
Residents 1 - 4 $95.00
5 + $95.00
Nurse Practitioners 1 - 4 $123.00
5 + $123.00
Nurse Midwives 1 - 4 $123.00
5 + $123.00
Physician Assistants 1 - 4 $123.00
5 + $123.00
Physicians 1 - 4 $154.00
5 + $154.00

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