DEA MATE Course Registration Form and Payment

DEA MATE Compliance 8-hour Course Registration Form

Fill out the form carefully for registration
Important!

You can no longer sign up for the DEA MATE Compliance course using this form. Please sign up at the following link:

https://www.docseducation.com/courses/dea-mate-compliance
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

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Postal / Zip Code
Practice Name
E-mail*
example@example.com
Phone Number
Format: (000) 000-0000.
Source
CE Course access link

DEA Compliance Course*

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Total

$0.00

DEA MATE Compliance 8-hour Course Registration Form