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

Simply fill out this form to sign up yourself or your group for our online continuing education program for one-year. Upon successful purchase, you will be contacted to finish your individual or group profile within 2 business days. Each participant will have the choice of Obstetrics with Fetal Monitoring Course or Antepartum/Postpartum Course. Each subscription includes our Gynecology Course, free of charge.

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Contact Person: * Hospital:
 
Phone Number: Fax Number: Email Address: *
     
Street Address: * Street Address Line 2:
 
City: * State: * Zip Code: *
     
Country: * How did you hear about us? Subscription Type: *
   

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*: $50.00
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

*One-time startup fee includes a copy of our Fetal Heart Rate Monitoring: Pathophysiology and Practice textbook, In-service CD and Subscriber’s Manual. This one-time startup package is intended to help you successfully navigate the online program and maximize your monthly educational content, and is not an annual fee.

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