ONLINE FACILITY USER PURCHASE AGREEMENT CERTIFICATION IN MODERATE SEDATION

ONLINE FACILITY USER PURCHASE AGREEMENT CERTIFICATION IN MODERATE SEDATION

Healthy Visions / Sedation Certification is in partnership with the American Association of Moderate Sedation Nurses, Inc. (AAMSN)
Facility User Agreement is awarded upon receipt of the conditions of this agreement:
Facility:*
Name of your Facility
Mailing Address:*
City:*
State:*
Zip:*
*Course Facilitator Name:*
*COURSE FACILITATOR IS THE CONTACT PERSON FOR SEDATION CERTIFICATION. COURSE FACILITATOR WILL GIVE INSTRUCTIONS AND ENROLLMENT KEY TO ELIGIBLE PARTICIPANTS.
Course Facilitator Email:*
example@example.com
Course Facilitator Phone*
Where do you want the Moderate Sedation Certification certificates mailed?*

Course Facilitator (address above)Participants
Certification in Moderate Sedation Facility Purchase Agreement is an online self-study training which awards 10 CE credits including 6 Pharmacology CECs for RNs and LPNs (physicians' category 2 CME's are available)
INCLUDES:
- Online access and enrollment key for your participants
- USB card with 6-hours of video lectures
- Hardcopy of the 4-hour Competency Study Manual and PowerPoints
- Instructions to access online exam
- Intra-op Bio-Rhythmic Music for patient listening
RNs upon successful first-time completion of the certification exam receive a one-year complimentary membership in the AAMSN. Membership fees $65.00 annually.

The Copyright owner Michael R. Eslinger gives permission to the purchaser the right to use the Moderate Sedation Certification Provider Directed Independent Study (PDIS) with the following agreement:
- Usage agreement is in effect for two years from date of purchase
- Duplication of course materials for registered users approved for use by above purchaser only.
- Each application requires a copy of professional license and current ACLS and/or PALS
- Certification is available to RNs, MDs and others licensed to give sedation
- LPN's may take the workshop for CE Credit’s only and receive a Certificate of Completion
The purchaser agrees not to sell or share the Sedation Workshop or copies of the workshop with others separate form this agreement at any time, in any form (mechanical or electronic)

This agreement is non-transferable. No part of the workshop materials may be used in any manner after the agreement expiration date without a renewed purchase agreement.
The purchaser may use the Moderate Sedation Workshop free of royalties and commission in exchange for a signed purchase agreement.

Agreement is approved for two years from purchase date or up to the number of seats purchased.

Purchasing and Price:*

	Number of Seats Purchasing	Total Purchase Amount (please see fee schedule below)
Purchasing

The person signing this document is the contact agent or representative of this facility*
Facility Name
Name*
Signature*

Clear
Sign by clicking mouse or with finger on touch screen
Date*

MonthDayYear
Date
Please check one, Pay by:*

Credit Card - Please note your credit card statement will read "Healthy Visions"Check - Healthy Visions-351 Market Street-Clinton, TN 37716
Stop here if sending check. Scroll down and click submit.

Choose the number of seats you need to purchase then change the quantity.

15-24 Seats$2,250.00

Quantity
Item subtotal:$0.00

25-34 Seats$3,500.00

Quantity
Item subtotal:$0.00

34-44 Seats$4,550.00

Quantity
Item subtotal:$0.00

45-74 Seats$5,400.00

Quantity
Item subtotal:$0.00

75-99 Seats$8,250.00

Quantity
Item subtotal:$0.00

100 Plus Seats$10,000.00

Quantity
Item subtotal:$0.00

Enter coupon

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

ONLINE FACILITY USER PURCHASE AGREEMENT CERTIFICATION IN MODERATE SEDATION

INCLUDES: