"To Those in the Field"

Registration

We accept VISA, MasterCard, and Discover or

please make checks payable to:  MedicalOfficer.Net, Ltd.

 

Full payment is required to secure your enrollment. If you cancel prior to 30 days before the course start, your payment will be refunded minus a $50 cancellation fee. No refunds will be issued within 30 days of the course start. In the unlikely event that a course is canceled by us, a full refund will be issued.

Name

Mailing address

Phone number

Email address

 

Degree or Certificate, if applicable

Affiliation, if applicable

 

Course name & start date

Payment information

 

Please read the Wilderness Medical Associates Course Participation Standards and the Functional Position Description. Also, you will be required to sign the Indemnity Agreement, so please read it and call if you have any questions. You can fax a signed copy to us or sign one at the start of your course.

We will need your . . .

To Register:

On-line:

 

Phone:

 

Fax:

 

E-mail:

 

Snail Mail:

www.medicalofficer.net/store/courses

 

970-275-4999

 

970-349-6141

 

wildmed@medicalofficer.net

 

MedicalOfficer.Net, Ltd.

P.O. Box 3681

Crested Butte, CO 81224 USA

Thank you!