PPC Webinar Series

If you wish to participate in any of our upcoming webinars, please complete the registration form below. Those registering for 4 or more webinars will receive a 25% discount. Discounts are also available for groups of 5 or more.

	Webinar Registration Fees	CE Registration Fees
Individual	$30	$10
Group (5 - 10)	$150 per group	Group rate includes up to 5 CE registrations. Additional CE registrations are $30 per person.
Group (11 - 50)	$300 per group	Group rate includes up to 11 CE registrations. Additional CE registrations (up to 20) are $25 per person. Additional CE registrations beyond 20 (up to 50) are $20 per person.

Rates shown indicate the price per webinar.

All individuals and groups registering for 4 or more webinars in the series will receive a 25% discount on the registration total.

Continuing Education is offered in partnership with CSU Shiley Institute for Palliative Care.

Registration Type*

Please indicate which type of registration you wish to complete below.

IndividualGroup

Individual Registrant Contact Information

First Name

Last Name

Organization

Phone Number

State

Country

Zip Code

Degree/Profession

Our series welcomes and encourages all participants, so specialized degrees or training are not required to participate. However, it helps us to know the makeup of our audience for future planning purposes.

Hold the Ctrl key on Windows machines or the Command key on Mac to make multiple selections.

Please indicate your degree(s)/profession(s) below

Webinar Selections

Please indicate which webinars you wish to attend below. For each selected webinar, please indicate whether you wish to register for continuing education credit.

Webinar

Date

Start Time

End Time

Add to Registration

Continuing Education Credits

Non-CreditCE - Nursing ($10)CE - Social Work ($10)For other disciplines seeking CE credit, click on Non-Credit option and you will receive an evaluation and attendance certificate to self report CE credit.

Subtotal

Webinar

Date

Start Time

End Time

Add to Registration

Continuing Education Credits

Subtotal

Group Coordinator Contact Information

For group registrations, please designate a coordinator to whom we can send any additional follow up instructions.

First Name

Last Name

Email

Organization

Group Category

5-10 Participants11-50 Participants51+ Participants

For groups larger than 50 participants, please indicate the Group Size below and someone from the PPC Webinar Series will reach out shortly.

Group Size

Included CE Registrations

Additional Participants Requiring CE

Additional CE Registrations (Category 1 - $25 per person - Limit 9)

Additional CE Registrations (Category 2 - $20 per person)

Additional CE Cost

Cost per Webinar Selection (1 to 3)

Cost per Webinar Selection (4 or More)

Webinar

Date

Start Time

End Time

Add to Registration

Webinar

Date

Start Time

End Time

Add to Registration

Webinars Selected

Discount % (4 or More Webinars)

Registration Total

To receive an invoice and pay by check, contact Joan: info@ppcwebinars.org

Payment Information

Name on Card

Billing Email

Card Number

Code