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User Registration


Please enter your name (first, last) and select a Username. Your Username must be unique and once it is selected, it cannot be changed. It is best to select a Username that is easy to remember and input. Many people use their email address for their Username. Your password should also be easy to remember as well.

Fields marked with an asterisk (*) are required.

Salutation

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Personal Details


This info will be used for your continuing education certificate. Once a CE certificate is generated, it cannot be changed, so make sure these details are correct.

  
Degree







  
Profession
  
Licenses
License State or Province      License Number
    
    
    
    
  
  
Phone Number   Ext. 

Security Check: Are You Human?


Answer this simple question below



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If hitting the Register button does not result in any action, scroll up and be sure that all required fields are completed. Any missing fields will be highlighted in red.

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