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Curriculum License

Curriculum License Purchase Request Form


 


Purchase Options

Please select your prefered method of payment.*
Please select the purchase option for which you are eligible (see below for cost and eligibility requirements for each option):*

Supporting Documents

Once we have reviewed your application we may request applicable supporting documents such as Professional Reference form 
or Canadian Association of Foot Care Nurses (CAFCN) membership. 

Purchasing Representative Details

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Signing Authority

Do you have the authority to sign legal agreements on behalf of your organization?*
If the person completing this form is different than the person who will be signing the licensing agreement, please provide the details for the signing authority below:

Educator

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Keep in Touch

Our quarterly e-newsletter is the best way to stay up to date on our available courses, curriculum and textbook, as well as receive information of interest to the foot care nursing community. Would you like your email address to be added to our mailing list? You can unsubscribe at any time.*

PLEASE REVIEW YOUR FORM PRIOR TO SUBMITTING TO ENSURE ALL INFORMATION INCLUDED IS COMPLETE AND ACCURATE.

By completing this Curriculum License Purchase Form you are acknowledging that you have read all the available information on the Foot Canada Training Curriculum page, you or your institution meet the criteria indicated, and you agree to the terms and conditions as outlined.

Review Period

Forms received are reviewed within 1-3 business days. Once reviewed, a member of our team will be in touch.

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