To mail in your reservation,
print off this page, fill in the blanks
and mail to :

Instruct-online
955 Forevergreen Rd
North Liberty, IA 52317

Catalog Number : wpnad1667-iol
Webplay Name : CMS ASC Curriculum: A $40 Million Grant to Ensure your Compliance with the Infection Control Standards in 2010
Speaker : Sue Dill
Price : $160 for 2 week access

All the information below is required:
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Address : ____________________
City/State/Zip : ____________________
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E-mail address : ____________________
Phone Number : ____________________

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