ONLINE and LIVE: Milwaukee, WI Certification Course Rescheduled as a LIVE ONLINE Course...PLEASE READ THE FOLLOWING INFORMATION BEFORE YOU REGISTER

Registration Summary

Ticket type	Price	Fee	Ticket	Total
Course Registration Ends May 30, 2020. NOTE: If you remained registered in the face to face course you are automatically registered for this course. Price : $475 Fee : $15.28 Ticket : 1 Total : $475.00				Course Registration Ends May 30, 2020. NOTE: If you remained registered in the face to face course you are automatically registered for this course.	$475	$15.28	1	$475.00

Email address *

First name *

Last name *

Please provide your state license, provisional license or ASHA number in the box below*

Please select the one that applies to you*

ASHA certified Speech-language Pathologist (CCC-SLP)

Clinical Fellow Speech

International Speech-Language Pathologist

Street Address LIne 1 (number, street)*

Street Address LIne 2 (apartment #, Suite, etc)*

City*

State*

Zip Code*

Country*