Online Registration Form

Registration Information

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

Early registration will be accepted until: about 45 days prior to starting date. (Please see the exact date for each course)
Regular registration will be accepted until: 15 days prior to starting date. (Please see the exact date for each course)
Late registration fees apply after: 15 days prior to starting date.

Cancellations and requests for refund will be accepted until the starting date and will involve a $300.00 administrative fee.


Red Fields Are Required
  • Please fill out your Name & Title as you would like it to appear on your certification.

  •   Important: I understand that confirmation of registration will be mailed with pre-course material.

Mail-in Registration

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.

Pacific Therapy Education,Inc
27475 Ynez Road No 318
Temecula, Ca 92591

Phone : 1(951)347-0362
Fax : 1(650)898-1771

info@lymphedemamanagement.com

Alternative Registration

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 the address above.