IFON Form (No Payment)

Date*

How do you want to receive DIRECTIONS?*

DIRECTIONS is only mailed in the United States. If you live in Canada, it will be emailed.

Name*

First Last

Gender*

Male
Female

Email*

Enter Email Confirm Email

Current Employer*

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Phone*

Cell Phone*

Which mailing address do you prefer that we use?*

Business
Home

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total number of years in the Rehabilitation Industry/Profession*

Position held with current employer*

IFON Level 1

IFON Level 1 No pre-payment is required. The annual fee is $75 USD. IFONS at this level receive NRRTS Continuing Education for $22.50 USD per course. You must log in to receive the discount. Your IFON subscription will be renewed on an annual basis.

IFON Level 2

IFON Level 2 Pre-payment is $112.50 USD. The annual fee is $37.50 USD for a total payment of $150 USD. Level 2 IFONS will see their pre-payment as a store credit of $112.50 USD to be applied toward Live Webinars, On-Demand Webinars, CEU Articles, or Bundles. Your subscription will be automatically renewed at this level on an annual basis.

IFON Level 3

IFON Level 3 Pre-payment is $225.00 USD. The annual fee is $0. Level 3 IFONS will see their prepayment as a store credit of $225 USD to be applied toward Live Webinars, On-Demand Webinars, CEU Articles, or Bundles. Your subscription will be automatically renewed at this level on an annual basis.

Product Name*

Level 1 IFON $75
Level 2 IFON $150
Level 3 IFON $225

Total

$0.00