Dynasty School

The Licensing Institution
elicenseschool

ACUPUNCTURE CONTINUING EDUCATION

Our homestudy correspondence course is approved by the California Acupuncture Board for 15 ce hours.

Califronia Acupuncture Board Course Provider Number: CEP 371
NCCAOM Course Provider Number: ACHB-102-004

Course Name: Applying Traditional Chinese Medicine For Pediatrics - Advanced Study (15 CE Hour)

10% off for former student. Mark this box.

STUDENT ORDER FORM: COMPLETE THIS FORM AND CLICK SUBMIT BUTTON BELOW.

Pay By	Visa/MC/Discover
Credit Card Number & Expire Month/Year (MM/YY)
Name	(Required)
Address	(Required)
City	(Required)
State	(Required)
Zip Code	(Required)
State License ID:	(Required)
Email Address	(Required)
Tel	(Required)
Last 4 Digits of SSN	(Required)
Your Favorite Color	(Required)
Special Instructions

Note: You will not get a total for your order. You will be notified either by email or phone/fax for your total.