Online Training and Competency Order Form

Enrollment Information

Enrollment Information

Identification Information

Identification Information
Current/previous account ID (if known)

Contact Information Of Person Completing This Form

Contact Information Of Person Completing This Form
Example: 123-456-7890

MTS Training Courses and Competency Tests

MTS Training Courses and Competency Tests

See MTS Product List for Individual Item#s.

PT80000

List in space below

$500

$100 per item

PT81000

List in space below

$500

$100 per item

PT80900

List in space below

$800

$100 per item

List Individual Item#s here

MTS Point of Care Competency Assessment

MTS Point of Care Competency Assessment

If ordering with Training Courses and/or Competency tests choose w/T&C option.

PT81900

PT81903

$300

$200

PT81910

PT81913

$300

$200

MTS Lecture Library Subscription

MTS Lecture Library Subscription

PT81800

$200

Facility Fees

Facility Fees

Facilities with more than 30 users complete information below.

PT80910

$100 per Item

Order Total

Order Total
Add prices from all sections above
Non WSLH PT customers add $80
Add Price Totals and Annual Processing Fee (if applicable)

Payment Information

Payment Information


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