REFUNDS &
CANCELLATION POLICY
© 2006 Victory Infusion Consultants, Inc.
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Victory Infusion Consultants, LLC
777 South Ham Lane;  Suite D, Lodi, CA 95242
866-971-VICC (8422), 209.334.9400, FAX: 209.334.9402
E-Mail: Info@VicThePICC.com
Peripherally Inserted Central Catheters (PICCs)
PICC-Midline | Vascular Access Training
Option: Registration Form (WORD),  Registration Form (Acrobat/.pdf)
First Name*:

Last Name*:

Address*:

City*:

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Zip*:

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Name of Class*:

Date of Class*:
1st Choice

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2nd Choice

Professional License#*:

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* Required
8 REGISTRATION FORM:  CLASSES
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