(831) 239 0422

Course Registration

Select your course, fill in your general information, then enter in your payment information, and that's it! It's that easy!

Select Your Course

Please select the course you wish to register for below. If you are registering for multiple courses or for multiple people, you will have to fill this form out for each class or person.

Attendee Information

Required fileds are marked with *.

First Name *

Last name *

Title

Company

Address *

City *

State *

ZIP *

Work Phone *

Other Phone

Fax

Student Email *

Clinic Manager Information

First Name *

Last name *

Clinic Manager Email *

Billing Information

First Name *

Last name *

P.O. Number

Company

Address *

City *

State *

ZIP *

Billing Email

Equipment

Equipment for use in the course is provided when necessary. However, it is always better to learn using your own equipment. Please let us know if you are going to bring your own equipment for use in this course.

Do you plan to bring your own equipment?

Your Certificate Name

Please enter your full name as you wish it to be printed on your certificate.

Certificate Name *

Payment Type

Next...

Please click the "proceed to Next Step" button below to proceed to the next step in the process.

Palmer Associates

Spirometry Training, Respiratory Protecction & Fit Test Training, Industrial Medical Surveillance & Quality Control Systems

Course Registration

Select Your Course

Attendee Information

Clinic Manager Information

Billing Information

Equipment

Your Certificate Name

Payment Type

Next...