CONTINUING EDUCATION CLASSES FOR NCT X-RAY TECHS www.learnxray.com WE HAVE THE 6 HOUR CLASS! 6 HOUR CLASS TO SATISFY THE RENEWAL REQUIREMENT FOR DSHS NCT X-Ray Technologists!!! If you need the 6 hours to renew your license from the Department of State Health Services and you don’t have the time to find a CE class….. WE CAN HELP!!! WE OFFER THE 6 HOUR CLASS FOR ONLY $85.00!!!! We have a class that is home study, as well as an Instructor driven class that satisfies the DSHS requirement that is entertaining and fun! And best of all….Our classes are flexible to accommodate your schedule! Give us a call today to get your 6 hours done this week!!!!!! AVERY X-RAY SCHOOL 713-667-5100 OFFICE 832-439-1117 DIRECT Avery X-Ray Schools Medical Assistant X-Ray Training as Required for the TDH Department of State Health Services NCT Registry Medical Assistant Certificate Program X-Ray Training ENROLLMENT FORM www.Learnxray.com Amount Paid Check/ MO. Number Select Your Payment option:  $1,895.00 Tuition* X-Ray Training program $1,895.00 $______ _______________  $3,500.00 Tuition Medical Assistant program 9 month class $3,500.00 $______ _______________ SELECT Your Class Time and Location: X – RAY CLASSES – ONSITE CLINICS   Nights - 10 weeks: Mon / Tue CLASS SCHEDULE SUBJECT TO CHANGE!!! Days- 7 weeks: Mon/ Tue CLASS SCHEDULE SUBJECT TO CHANGE !!!  MEDICAL ASSISTANT Classes – ONSITE LOCATIONS – Doctor Clinics  Days – 32 weeks:  Weekends  Nights - _____________ CE CLASSES ONSITE OR AT OUR FACILITY $85.00 Please Print the name of the student enrolling below: One enrollment form per student please. Student Name: email: Address: Apt. # City: ST. Home Phone:( ) Payment Information: cell:(  Check/ Money Order ZIP: ) wk:(  Debit  _______________ Billing Address: )  ____________ City: If paid by employer, Employer Name: ST. Phone:( Business Address: ) Title: ZIP FAX:( City Training authorized by:  _________________ ST. ) ZIP Referred by: Only Paid enrollments assure your class seat. Text book not included. Job placement not included. The Texas Dept. of Health reserves the right to issue a NCT X-Ray Permit based on passing a criminal background review. ONLY DSHS Registered NCT Graduates of this course are permitted to take adult x-rays of all anatomical areas completed. * Refund policy: 100 % refund made if we receive written cancellation notice 72 hours before the first day of the class to which you first enroll, no other refunds. Refunds paid within 21 days. Classes may be combined or rescheduled. You can learn more about X-Ray training at:www.Learnxray.com or Phone: (713) 667-5100 FAX: (214) 957-6135 1. Print and complete this enrollment form, select your class date, fill in your name and address. 2. Make your check payable to: Avery X-Ray Schools, Inc. 3. Mail this form with payment information to the corporate billing office at: Avery X-Ray Schools, Inc. Houston  Dallas P.O. Box 496203 Garland, Texas 75049  Garland  Rockwall