Cost of the online couse, including all written materials, and shipping and handling = $57.50 ($7.50 S&H)
Total cost = $57.50 USD
(includes all written material [see details below] and Login/password for Internet material).

Credit card payments are encrypted and secure.

If paying by check/money order, make payable to Vernon R. Stanley, MD and send to:

Vernon R. Stanley, MD
Rt. 1 Box 220A
Fayetteville, WV 25840

All materials sent via UPS with email confirmation, if physical address is given.

All materials sent via USPS, if PO Box is given.

Fill out the form below to register.
Fields indicated with * must be completed.

Your Information Name * First Middle * Last Suffix Title Select one Student MD DO PA NP RN LPN Paramedic Respiratory Therapist Monitor Tech Exercise Physiologist Paralegal Forensics Chart Reviewer Other If OTHER, please elaborate below: * Address 1 Address 2 * City * State/Province -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon * Postal Code Country -- Albania Algeria Andorra Anguilla Antigua Barbuda Argentina Aruba Australia Austria Azores Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bolivia Bonaire Bosnia Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Islands Cayman Islands Central African Republic Chad Channel Islands Chile China Colombia Congo Cook Islands Costa Rica Croatia Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equitorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Guyana Haiti Holland Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosrae Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Madeira Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Monaco Montserrat Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norfolk Island Northern Ireland Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Ponape Portugal Qatar Republic of Ireland Republic of Yemen Reunion Romania Rota Russia Rwanda Saba Saipan Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands South Africa South Korea Spain Sri Lanka St. Barthelemy St. Christopher St. Croix St. Eustatius St. John St. Kitts Nevis St. Lucia St. Maarten St. Martin St. Thomas St. Vincent the Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Tinian Togo Tonga Tortola Trinidad Tobago Truk Tunisia Turkey Turks Caicos Islands Tuvalu Uganda Ukraine Union Island United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Gorda Wake Island Wales Wallis Futuna Islands Western Samoa Yap Yugoslavia Zaire Zambia Zimbabwe * Daytime Phone * E-mail Text    HTML Same As Billing Address? Check if YES Billing Information Name * First Middle * Last * Address 1 Address 2 * City * State/Province -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon * Postal Code     DISCOUNT CODE: This must match your selected school. Payment Type: Credit Card     Check / Money Order Credit Card Number CCV/Security Code Card Expiration Date SCHOOL INFORMATION If you are registering as a student of a school listed below, please select the school name. None Edward Via Virginia College of Osteopathic Medicine Greenville Pharmaceutical Research The Heart Center Community Memorial Hospital University of Texas Pan-American PA Program Philadelphia University PA program - Fall 08 BIOTRONIK, Inc Barry University PA Program - Spr 09 Madigan Army Medical WVSOM - PBL Summer 2009 WVSOM - SBL Summer 2009 Owatonna Hospital Mountain State University - Summer 09 WV EMS VCOM Alice Hyde Medical Center Pierpont Community & Technical College - EMS I - P Program CONTINUING EDUCATION  Check if you expect continuing education credit. CME CEU   Describe   Hours Expected

 

This is a secure transaction.
Your credit card information is encrypted when it is transmitted.