Online Registration Form

Registration Information

     Registration fee includes course, course handouts, continental breakfast and refreshment breaks.

Early registration will be accepted until:  45 days prior to starting date.

Regular registration will be accepted until:  15 days prior to starting date.

Late registration fees apply after:  15 days prior to starting date.

Cancellations and requests for refunds will be accepted until 30 days prior to starting date and will involve an $80 administrative fee.

       There are three ways to register through this page:

 1.    Online registration:  Entails filling out the electronic form contained in the lower part of this page.  This method guarantees receipt of your information within 12 hours,  however, a check or money order will still have to be received to confirm your registration.

2.    The second way to register for the course is by printing the mail-in registration form, filling out the information requested on it and mailing it with a check or money order enclosed.                                                                                                  

 3.    This last alternative is meant for use if you are experiencing problems in registering through the other two methods,  we will be happy to accept your information in the form of a note (typed or clearly written) sent in with your payment.    In order to register you, we need the following information:       Your Name, Home Address, your Phone and Fax   numbers, your Facility's Address, its Phone and Fax number.   A hard copy of the brochure can also be requested. (contact)

     Please mail the Registration form and enclose a check or money order payable to:

Please report any problems you experience in using this page to E-mail address: Webmaster@lymphedemamanagement.com
You may also use the information in the Contact page to report problems.