Course Registration

You have selected to purchase the:INDIVIDUAL: MULTIDISCIPLINARY TEAM TRAINING FOR DIAGNOSIS OF FASD Course

This purchase provides an individual professional with 12 months of access to the course content.

Please enter information on the form below to register for your course.

First Name *

Last Name *

Address *

Address2

City *

Postal Code/Zip *

Filter Postal Code/Zip

Country *

Province/State *

Email *

Member Jurisdiction Discount

Price

Tax Amount

Purchase Price

Payment Method

Make payment on this website

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

I accept CanFASD's terms of use