LEGAL NURSE CONSULTING INSTITUTE, LLC
COURSE REGISTRATION
First Name: Last Name:
  
Credentials (e.g., BSN, RN):
Years in Practice?
How did you hear about Legal Nurse Consulting Institute?
  
Address:
City:   State: Zip:
Phone: --
Fax: --
E-mail:
Website:
Module: Each module is $300.00
Module 1 Class Dates
August 15, 2008 Module 1
December 12, 2008 Module 1
April 3, 2009 Module 1
August 7, 2009 Module 1
December 11, 2009 Module 1

Module 2 Class Dates
June 20, 2008 Module 2
October 17, 2008 Module 2
February 6, 2009 Module 2
June 5, 2009 Module 2
October 2, 2009 Module 2

Module 3 Class Dates
August 15, 2008 Module 3
December 12, 2008 Module 3
April 3, 2009 Module 3
August 7, 2009 Module 3
December 11, 2009 Module 3

Module 4Class Dates
March 14, 2008 Module 4
October 17, 2008 Module 4
February 6, 2009 Module 4
June 5, 2009 Module 4
October 2, 2009 Module 4
NOTE: By registering for this class, I agree to purchase
Legal Nurse Consulting Principles and Practice Second Edition.

Hotel Reservations (must be made three weeks in advance):
For the convenience of our out of town guests, a block of rooms has been
reserved at a reduced rate at the Sheraton Park South Hotel, 9901 Midlothian
Turnpike Richmond, Virginia 23235. Phone: 804.323.1144. Mention Legal Nurse
Consulting Institute to receive your reduced rate. Registrants must reserve their hotel room three weeks in advance in order to receive the discounted rate.

Please note: Modules must be taken in order unless prior approval is obtained from LNCI.

Registration fees are non-refundable. Registration is transferable to another experienced RN or may be applied to another class. Legal Nurse Consulting Institue, LLC 2007


© 2007 legalnurseconsultinginstitute.com