CPC LIVE event feedback form

CPC LIVE event feedback form

We truly appreciate your patronage of our CRNA owned company. Due to delays in NBCRNA review of our Human Physiology and Clinical Pharmacology Core Modules we are forced to restructure our live event schedule. Please review the information below and make the selection that best suits your needs. We want to continue to provide stellar educational services to fellow CRNAs and make this right with you! .
Name *

First Name Last Name
Email *
example@example.com
1. Which Core module LIVE event are you registered for? *

Gulfport, Mississippi November 19/20, 2022 Monroeville, PA January 7/8, 2023 San Antonio Feb 17/18, 2023 Philadelphia, PA March 18/19, 2023 Pittsburgh, PA April 1/2, 2023 Leesburg, VA April 22/23, 2023 Salisbury, PA May 7, 2023 Birmingham, AL June 3/4, 2023
3. Please make a selection on how you would like to proceed regarding your event registration: *

I would still like to come to the event and receive 15 CE and 2 core modules [Airway Management & Equipment/Technology] per the agenda pictured below I would only like to attend Saturday and receive 2 Core Modules and CPC review. Refund me the difference in admission cost. (see agenda below) I would only like to attend Sunday. I do not need core modules just the CE and CPC review. Refund me the difference in admission cost. (See agenda below) I already have my Airway and Equipment core modules completed. Please issue credit towards attendance of the next session once next core module is released. SAS customer credit NEVER expires and can be applied to any future product. Please cancel my registration and refund me the full registration fee.
Based on the postponement of your event, please select your refund option below. (The image below does not pertain to your event.)

I would still like to keep the core module bundle. Please refund me for the live registration - the reduced price $250 for the core module bundle. I just want the 2 core modules that are available. Refund me for the live registration - the reduced price $120 for the airway and equipment modules I would like to convert my refund into Summit credit. It never expires! Full refund please. I do not want access to the modules.
Comments or questions for our team
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