Best Practices in Life Care Plans and Depositions Application


All Registrations for Life Care Plan Review and Depositions need to be submitted by August 1, 2007.

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):
Course Information  

Select one of the options below:

$1500.00 -Includes the LCP review, deposition, and round table discussions
$1000.00 - Includes LCP review and round table discussions
$500.00 - Round table discussions only

Cancellation Policy
 All registrations for Life Care Plan review and/or deposition need to be submitted by July 1, 2007. No Exceptions! There are no refunds after submission of the life care plans. In case of injury or illness, Kelynco reserves the right to cancel the course based on low registration or other unforeseen circumstances and will either provide a full refund or change the course date.
Course Date:
Nursing License Number
Nursing Organization:
How did you Hear about the Best Practices Course?
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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