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Please click only once on the Submit Form button.

Tuition: $ 250.00 (US) for 10 week course
Syllabus: Included

Submit form, then send Check or Money order (in US funds) to:

PerfusionEducation.com
P.O. Box 91123
Portland, OR 97291-9123

(We do not accept credit cards at the present time.)

You may choose to print the PDF Form, fill it out and mail it with your Check or Money order.

You will need Adobe Acrobat Reader, a free program and may be down loaded here.



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