Online Low Vision Seminar
•
Refer to the online seminar on the
course page
.
Click here to Register for
"Online Low Vision Seminar"
*Complete Name:
*Street Address:
City:
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Zip:
*Email Address:
(
Email is required in order to receive course materials
)
*Phone Number:
*Course Location:
O.T
O.T.A.
Payment Method:
Credit Card
:
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Print out Completed Registration Form and Mail or Fax with credit card information
:
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Credit Card Information
(including number and expiration date.)