Get Brochure - Imm Cert - Aug & Sept 2010.pdf - More From Yimg.com...

This guide provides step-by-step instructions on how to complete the Brochure - Imm Cert - Aug & Sept 2010.pdf online. Whether you are a pharmacist or student, this comprehensive overview will assist you in accurately filling out the registration form for the Pharmacy-Based Immunization Delivery Certificate Program.

Follow the steps to successfully complete your form online.

1. Click 'Get Form' button to obtain the form and open it in your preferred document viewer or editor.
2. Begin by filling in your personal details, including your first name, last name, and middle initial. Please ensure that both your given and preferred names are noted if they differ.
3. Enter your home address, including state, city, and ZIP code. The self-study program notebook will be mailed to this address unless otherwise indicated.
4. Provide your work details, including your place of employment, work address, phone numbers, and email address.
5. If you have special dietary needs, please note them in the designated field.
6. Select your desired location for the seminar by checking the appropriate box for either August 21, 2010, or September 24, 2010.
7. Indicate your certificate program fee by checking either the pharmacist fee of $400 or the student fee of $300.
8. If you wish to attend the optional CPR training, check the corresponding box and include the additional fee of $50.
9. Indicate your CPR certification status by selecting the appropriate option and including an expiration date if applicable.
10. Ensure all sections are filled out accurately. Review your information for any errors before submission.
11. Fax your completed registration form to 304-293-2529. You must also mail a check or money order payable to WVU School of Pharmacy Continuing Education along with your original registration form to the provided address.
12. Once your registration is submitted, keep an eye on your email for confirmation and further instructions.

Complete your registration online today to secure your place in the Pharmacy-Based Immunization Delivery Certificate Program!