SCS Continuing Education: ORDER FORM
Name:_______________________________________________
Address:______________________________________________
City:__________________________State______Zip code____________County__________
State License Number:_________________________________
E-mail:__________________________
Phone:__________________________
(for future courses and online updates only,will not be shared)
- Print out this form by clicking "File" in the top left corner and select "Print"
- Fill out the required information
- Select the course(s) you would like to receive
- 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: Basic Structure and Function of the Wrist and Hand
8 CE hours for Florida, Mississippi, Arkansas, and New Mexico
Price: $72.00 + (tax Florida only); s/h
_____Item 2: Basic Structure and Function of the Ankle and Foot
7 CE hours for Florida
8 CE hours for Mississippi, Arkansas, and New Mexico
Price: $72.00 + (tax Florida only); s/h
THANK YOU for choosing SCS Continuing Education!
Please make checks payable to:
SCS Continuing Education
Please mail orders to:
SCS Continuing Education
C/o Shane Smith
1562 Glen Hollow Lane N
Dunedin, FL 34698
Price information:
shipping/handling:
subtotal:
+ sales tax (Florida only)
$2.50
$72.00 single
$74.50
6 %
6.25 %
6.5 %
7 %
7.5 %
$4.47
$4.66
$4.84
$5.22
$5.59
Total:______ Total:______
$130.00 two
$2.50
$132.50
$7.95
$8.28
$8.61
$9.28
$9.94
Phone: (727) 515-9532
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 SCS Continuing Education at ceuarmy@yahoo.com.