Course Registration Course Registration Form Registration: A minimum deposit of $500 is required upon registering for the basic MLD certification or full CLT certification program. CE Credits: We are accredited providers of continuing education through NCBTMB and BOC. Most states accept these credits for allied health professionals, (i.e. RN, PT/LPTA, OT/COTA, CMT/LMT etc.) It is up to you to check the requirements of your state. Cancellation Policy: Refunds can be received up to 30 days before the course starts with the reduction of a non-refundable $50-$100 deposit depending on the program. Within 30 days of course start-date, the amount can be credited toward enrollment in a future course. Payment Plan: If you are requesting a monthly payment plan, you need to contact us directly via phone or email to discuss your options. Course SelectionMLD Certification CourseI am registering for (check one)* Full MLD/CDP Certification Course Basic MLD Certification Course Advanced Course (Live, In-Person) Integrative Oncology Rehab Certification (Live, In-Person) Integrative Oncology Rehab Course(Recorded or Live Virtual Webinar) Head & Neck Oncology Care (Live) Neuro-Lymphatic Therapy (Live, In-Person) Neuro-Lymphatic Therapy (Recorded or Live Virtual Webinar) Intro to MLD (Recorded) Advanced Techniques-Mini (Recorded) CLT Toolkit Custom Webinar NameWebinar (if selected) CustomCustom (if Selected) Total $0.00 Coupon Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Registrant InformationFirst Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* WorkplaceOccupationLicense NumberState LicensureLicensure InformationNOTE: Please include a copy of any and all licensures with registration, unless already on file.File Upload Drop files here or Accepted file types: doc, docx, txtpdf, jpg, png, gif. Student AgreementPlease click here to read the Student AgreementI have read, agree to, and understand the student agreement.* I agree Please note: Final certification will be held until all payments are complete, though you will receive your CEU certificates as you finish each part of the course.CAPTCHASubmit Your InformationUntitledPhoneThis field is for validation purposes and should be left unchanged.