Get Mark Butler, Pt, Dpt, Ocs, Cert

This guide provides comprehensive and clear instructions on how to fill out the Mark Butler, PT, DPT, OCS, Cert form online. By following these steps, you will be able to successfully complete and submit your registration.

Follow the steps to successfully complete the registration form.

1. Click ‘Get Form’ button to obtain the form and open it in the document editor.
2. Begin by entering your name in the designated field. This helps to identify your registration.
3. Fill in your address, including street, city, state, and zip code. Accurate information ensures that all communications are sent correctly.
4. Enter your phone number. Providing a valid phone number allows for real-time communication if necessary.
5. Provide your email address. This is crucial as it will be used to send electronic confirmation of your registration.
6. Select your professional title from the checkboxes provided, such as ATC, PT, PTA, OT, OTA, or Other.
7. Review the registration fee details. Ensure that the total amount of $425.00 is clearly noted.
8. Choose your payment method by selecting either fax, credit card, or mail, and provide the appropriate payment details as instructed on the form.
9. Make sure to sign the form where indicated, confirming that the information is accurate and that you agree to the terms outlined.
10. Once all fields are filled accurately, save your changes, and prepare to download, print, or share the completed form as required.

Begin your registration for the Mark Butler, PT, DPT, OCS, Cert online today!