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 Integrative Oncology Rehab Certification Webinar Head & Neck Oncology Care Neuro-Lymphatic Therapy Advanced Techniques-Mini Custom Webinar NameWebinar (if selected) CustomCustom (if Selected) Total $0.00 Coupon Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 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 InformationUntitledCommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.