JUREI Ultrasound Video Classroom Order Form

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	OBC3110-DVD -- Ob/Gyn Ultrasound Core Course including 2 CME Application forms. 32 CME Credits	$1,495
	LOB3110-DVD -- Limited Ob Ultrasound Course including 2 CME Application forms. 12 CME Credits	$950
	VAS3110-DVD -- Vascular Ultrasound - Core Course including 2 CME Application forms. 16 CME Credits	$1050
	VAI3110-DVD -- Vascular Interpretation Course including 2 CME Application forms. 15 CME Credits	$950
	MSK3110 A-DVD -- Musculoskeletal Ultrasound Course including 2 CME Application forms. 10 CME Credits	$950
	ABD3110-DVD -- Abdominal Ultrasound Course including 2 CME Application forms. 15 CME Credits	$950
	FET3110-DVD -- Fetal Echocardiography including 2 CME Application forms. 15 CME Credits	$950

Purchase of DVDs can be made by check-enclosed institutional purchase order, personal check, or credit card (American Express, MasterCard, or VISA). Foreign payments must be made using USD$ by a draft on a United States bank. All purchases must be prepaid.

Orders paid by personal check will be shipped on check clearance. Orders paid by credit card are shipped when the charge is placed.

Shipping:
For shipping of DVD orders outside the contiguous United States, please submit your order without payment. We will determine the shipping cost by your preferred carrier and will provide you with this cost for inclusion in your final payment.

Payment Method:

Check Enclosed Institutional Purchase Order

If paying by check with an institutional purchase order, please mail check and purchase order to the address at the bottom of this page.

Check

If paying by check, please make checks payable to:
"Ultrasound Institute-TJU"

Mail check to:
Jefferson Ultrasound Research and Education Institute
Thomas Jefferson Univ. Hosp.
780 Main Building
132 South 10th Street
Philadelphia PA 19107-5244 USA

Credit card (AMEX, MC, or VISA)

If paying by credit card, please indicate the phone number at which you can be reached so we may take your credit card information over the phone (please include area code):

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Please note that your order will not be processed until your payment is received.