(Please complete the following information)

Please check which online course you would like to take:
Managing the Randolph-Sheppard Facility: An Introduction to Business Management for New Facility Mangers and & BEP Counselors

Successful Placement of the Older Consumer with Visual Impairment

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Please check if you would like to receive the following credit, if available for that course:
CRC,
CEU,
ACVREP


Method of payment: If you would like to pay by credit card, please print this form, provide the credit card information and fax it to us. OR, you may call us with the information.
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