Kelynco.Com

Kelynco Course Registration

Order online or print this form and send it to:

Kelynco
498 East Golden Pheasant Drive
Draper, UT 84020

Or FAX it to: (801) 553-9931

Personal Information

Company:

Credentials:

First Name:

Last Name:

Preferred Mailing Address 1:

Address 2:

City:

State:

Zip Code:

E-Mail Address:

Phone (day):

Phone (evenings):

ONLNE COURSES AVAILABLE

Please select 1 or more courses you would like to sign up for below.

	$65.00/year – Kelynco Listserve Subscription
	$300.00 – Complete MSA Set-Aside Course approved for 30 contact hours
	$200.00 – MSA Recert


	$7500.00 – Specialty Package Includes: - Setting the Standards 7 Course module Live or Online - Senior Care ConsultingCourse - MSA Course - List Serve Membership (1 yr.) - 2 Sample Life Care Plans - Executive Forum Registration for 1st Year - 1 Year Mentoring with Kelly

	$6000.00 – Premier Executive Package Includes: - Setting the Standards 7 Course module Live or Online - MSA Course - List Serve Membership (1 yr.) - 2 Sample Life Care Plans - Executive Forum Registration for 1st Year - 1 Year Mentoring with Kelly

	$4500.00 – Executive Package Includes: - Setting the Standards 7 Course module Live or Online - MSA Course - List Serve Membership (1 yr.) - Executive Forum Registration for 1st Year - Mentoring with 1st Plan

	$3500.00 – Setting the Standards in Life Care Planning - COMPLETE ONLINE COURSE (Includes 7 modules and BONUS MODULE The Business of Life Care Planning) If you do not wish to take the complete Setting the Standards in Life Care Planning course you can signup for individual modules below: $600.00 - Module 1: Life Care Planning and the Future $600.00 - Module 2: Spinal Chord Injuries $600.00 - Module 3: Traumatic Brain Injury $600.00 - Module 4: Burns & Management $600.00 - Module 5: Cerebral Palsy $600.00 - Module 6: Chronic Pain in Life Care Planning $600.00 - Module 7: The Law & Life Care Planning
	$500.00 – Depositions & Best Practices

	$2000.00 – Senior Care Consulting Course

	$400.00 – Executive Forum

	$300.00 – Nursing Process

	$150.00 – LCP Samples

	$150.00 – MSA Samples

OTHER COURSES

Cancellation Policy
Kelynco reserves the right to cancel a live course due to low enrollment with registration transferred to another session or to the online course. $500.00 cancellation fee for any course. You may transfer to the online course or another live session to avoid the cancellation fee. There is a $150.00 cancellation fee for the MSA course or the MSA recertification course. There are no refunds for any courses once you have accessed the online course and received you course materials.

Nursing License Number

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How did you Hear about Kelynco Courses?

Education Information

College:

Degree:

Year of Graduation:

Nursing Experience:

Other Nursing Experience

By clicking continue, I agree to submit my information and have my credit card charged and I agree to the cancellation policy.

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