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If your Billing and Student information are not the same,
Please contact Shane directly at 571-989-2315
**For example, if you are a company purchasing for an employee**

PASSWORD INSTRUCTIONS: Your new password below has to be Strong! While typing out the password, a colored bar will show below, starting red, going yellow, then turn green when the password is strong enough. The registration will show an error until the password is strong enough to get the green bar. Please contact me directly at the number above if any questions or issues.

Thank you and enjoy the course.

Billing Information

Email Address*

Confirm Email Address*

Password*

Confirm Password*

Your password has to be Strong! While typing out the password, a colored bar will show below, starting red, going yellow, then turn green when the password is strong enough. The registration will show an error until the password is strong enough to get the green bar. Use small / CAPS / numbers / symbols over 10 characters.
Please contact me directly at the number above if any questions or issues.

First Name*

Last Name*

Address*

City*

Country*

State / Region*

Postal / Zip Code*

License Number (last 4): 338000XXXX (Fill in for the XXXX)*

Phone Number: 10 digit, only numbers: no ( ) or - allowed.*

Order Summary

Course: Virginia NRS 4 Hour CE Course
Access Plan: Virginia NRS 4 Hour CE Course Online
Terms: $199.00
Access: 1 month of access

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