Thank you for your interest in Channel Publishing's ICD-10-CM Seminars. Unfortunately, we are currently unable to process your registration form via the web site. However, please feel free to print out and use the following registration form and send with your payment. Payment must be received prior to the seminar.

Not currently available. See Channel Homepage, "ICD-10-CM...Later Than Sooner?" for details

 

Seminar Registration Form
Registering is Easy! Please Complete this Form, Including Seminar Location, Attendee Name(s) and Payment Method.
Print form and mail or fax order to:
Channel Publishing, Ltd.
4750 Longley Lane, Suite 110
Reno, NV 89502-5981
Tel: 1-800-248-2882 or 775-825-0880
Fax: 775-825-5633

Seminar City, State

Seminar Location Code

Name of 1st Attendee
$135 with Advance Purchase**
Organization/Facility
Address
City/State/Zip
Phone

Fax

Additional Attendees
$120 with Advance Purchase**

**Advance Purchase Price Valid When Registration is Received in our Office No Later than 14 Days Prior to Seminar Date.

PAYMENT METHOD
Payment is due prior to seminar. Space is limited. Unfortunately, we are currently unable to process your registration form via the web site. However, please feel free to print out and use the following registration form and send in with payment. Call 1-800-248-2882 or 775-825-0880 for assistance or to place a credit card order. Payment must be received prior to seminar.

Check Enclosed (For Total Order Amount) $

OR

Please Bill My: MasterCard VISA
Account # Exp. Date: /

Authorized Order Signature

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