Acuregen CPD Certification

Acuregen CPD Certification Form
After you submit this form you will be directed to Paypal to pay our £30 certification fee which can be paid by either PayPal, Visa or Mastercard. Your certificate will be emailed within 2 weeks.
Full Name *

First Name Last Name
Home address *
Postcode *
Clinic address with postcode
Phone Number *
E-mail *
example@example.com
Website
Previous relevant qualifications in complementary or western medicine *
CCM Course name *
Course Attended (Please click one option) *

Acuregen Core 1 Acuregen Core 1 & 2 Other
Course Tutor name *
Length of Course *
End of course or examination date *
Enter the message as it's shown *
My Products *
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CPD Certification
£ 30.00

Total

£ 0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Acuregen CPD Certification Form