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Web Based Training Request Form
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This registration form must be completed by all participants requesting attendance to a Web-based Training class hosted by PSNI. Complete the following registration form to reserve a spot in a class. Registration is not confirmed until a purchase order or payment is received. All registrants will receive confirmation within one week of our receipt of your purchase order or payment. If confirmation is not received, please contact the PSNI office at 1-800-889-7627x5.

NOTE:  You will receive an email reply indicating we received your request. 
If you receive the email in your SPAM folder please mark it as not SPAM
to avoid future emails from going into your SPAM folder.


Note: To follow along and get the most of the training, all participants are expected to have basic computer skills prior to registering for a training class (i.e. mouse operation, basic keyboard skills, basic Microsoft® Windows® functions, opening files, backing up and saving to hard-drive or floppy disk).

Fields marked with a red * are required.

Participant Name *:
Position:
School Name *:
District:
Phone *:
Address Line 1 *:
Address Line 2:
City/Town *:
State *:
Zip Code *:
School Phone *:
Alt. Phone:
Email Address *:
Class Type
(please check one)
SNAP Fundamentals
Medication Component
Visit Log Component
Screening Component
Immunization Component
Health Record
Reports/Grouping
Promote/Transfer
SNAP Nurse Administrator
SNAP IHP Module
Libraries/Form Letters
Class Date *:
Class Time *:
Purchase Order No.:
Please mail/fax purchase orders or payments to:
Professional Software for Nurses Inc., 28 Charron Ave, Suite 1, Nashua, NH 03063
Fax: (603) 882-2165
One form per person, please. Questions? Contact PSNI at 1-800-889-7627x5

  

Site last modified: Nov. 20, 2009
Please contact us with any questions or comments.
Email: sales@promedsoftware.com
Copyright © 1995-2009 Professional Software for Nurses, Inc. All rights res