For email correspondence only: cpdftraining@delphus.com

 

Do not send credit card information via email - use "Buy" button above for secure credit card transactions


 
CPDF e-Learning Registration Form
 

Do not send credit card information via email - use "Buy" button above for secure credit card transactions

To pay for CPDF e-learning registration, print this form, fill it out, and send it back to us.

 
Registration Information
 
Name ___________________________________________________________________________
 

Company ___________________________________________________________________________

 

Address (1) __________________________________________________________________________

 

Address (2) __________________________________________________________________________

 

City/State/Zip ___________________________________________________________________________

 

Country ____________________________________________________________________________

 

Phone _____________________________________________________________________________

 

E-mail Address _______________________________________________________________________

 

Self-paced, e-Learning Registration

 

e-Learning worksheet #

Price

Quantity

Total Amount

CPDF Level I           Worksheet Problems (#9-13)

CPDF_Master Level II              Worksheet Problems (#22- 27)

CPDF_ProLevel III                   Worksheet Problems (#32-37)

USD $ 495

USD $ 495

USD $ 495

_______

________

________

$____________

$____________

$____________

Payment Method:
___ VISA ___ MasterCard ___ American Express ___ Discover

 

Expiration Date _______________________________________________________________________

 

Cardholder's Signature ______________________________________________________________

CPDF Level I requires completion of an Instructor-led CPDF workshop prior to completing e-learning module. Completion of CPDF Workshop plus e-learning worksheets #9 - #13 constitutes requirements for CPDF Certification

CPDF Level II requires completion of an Instructor-led CPDF_Master workshop prior to completing e-learning module. Completion of CPDF_Master Workshop plus e-learning worksheets #22 - #27 constitutes requirements for CPDF_Master Certification

CPDF Level III requires completion of an Instructor-led CPDF_Pro workshop prior to completing e-learning module. Completion of CPDF_Pro Workshop plus e-learning worksheets #32 - #37 constitutes requirements for CPDF_Master Certification

 

Mail to: CPDF Program Director
152 Speedwell Avenue
Morristown, NJ 07960
USA
Phone: +1 (973) 267 - 9269

 

E-mail for correspondence only: cpdftraining@delphus.com

 
 
 

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