Nurse Foot Care Training Course
registration form

Things to know:

You can register up to 3 people using this form. We need names and email addresses for each person, but only one contact mailing address and phone number.

The registration fee is $150 for each person for the training course. If you are a WSPMA member, please contact Dr. Susan Scanlan before registering. nwpodiatry@aol.com

After you fill out this form and click "submit" you will link to a secure PayPal site where you can use ANY CREDIT CARD.  

If you need to register by check please send $150 to WSPMA   PO Box 22368   Seattle  WA  98122 

Name:      Email:

Address:

Phone #:

Name of Second Person:      Email:

Name of Third Person:      Email: