Three Phase CEUs and SCS Continuing Education
Three Phase CEUs: ORDER FORM
Name:_______________________________________________

Address:______________________________________________

City:__________________________State______Zip code____________County__________

License Number:_________________________________

E-mail:__________________________
(for future courses and online updates only,will not be shared)
  1. Print out this form by clicking "File" in the top left corner and select "Print"
  2. Fill out the required information
  3. Select the course(s) you would like to receive
  4. Send this form along with a check or money order (see information below)
To place an order, please follow the steps below:
Ordering instructions:
_____Item 1: Essentials of Radiographic Anatomy
12 Category A CE hours for Florida
Price: $30.00 + tax (Florida only); s/h


_____Item 2: Topics in Radiography Volume 1
12 Category A CE hours for Florida
Price: $30.00 + tax (Florida only); s/h
THANK YOU for choosing Three Phase CEUs!
Please make checks payable to:
Three Phase CEUs
Please mail orders to:
Three Phase CEUs
c/o John Fleming
80 Bay Woods Drive
Safety Harbor, FL 34695
Price information:
shipping/handling:
subtotal:
+ sales tax (Florida only)
$2.50
$30.00 single
$32.50
6 %
6,25 %
6,5 %
7 %
7,5 %
$1.95
$2.03
$2.12
$2.28
$2.44
Total:______ Total:______
$60.00 both
$2.50
$62.50
$3.75
$3.91
$4.06
$4.38
$4.69
Phone or fax: (727) 796-0397
You will receive the program packet(s) in a few days. Follow the instructions included in the packet, complete the course and send the required forms back in the envelope provided. You will receive a certificate upon successful completion of the course. It's that easy. Your satisfaction is guaranteed or the total purchase price will be refunded. Have questions? E-mail Three Phase CEUs, attention John Fleming, at: threephaseceus@tampabay.rr.com.