The Virtual Cardiac Cath Lab CD-ROM set  and Continuing Education Order Form
Print this page, then fill in.
PRINT ALL INFORMATION

Name _________________________________________________________

Address _______________________________________________________

Address _______________________________________________________

City, State, Zip _________________________________________________

CHOOSE TYPE OF CREDIT YOU WISH (choose only one)


___ACP (21 contact hours)       ___AACN (26.5 contact hours)

PRICE:    $125.00 (CD set & question book & continuing education credit)

Mail this form and the above letter with check or money order made out to Charles D. Lawrence to:

Charles D. Lawrence, MPH, Ph.D.
PO Box 5578
Gainesville, FL  32627