CNS Rotation Payment

CNS Rotations Registration

Thank you for applying at CNS for clinical rotation. Please submit your payment for the application process. You can choose which fees you would like to pay based on your requirements. Once your payment is processed, you will receive a confirmation email. If you have any questions or need assistance, please contact us at erum@thecns.com.

First Name *

Last Name

Phone

Email Address *

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country *

Please select the applicable fees based on your requirements: *$50 - Registration Fee (non refundable)$100 - Accommodation Advance Fee ( if you choose one month) - (non refundable)$200 - Accommodation Advance Fee ( if you choose two months) - (non refundable)$50 - Select If you required visa letter$500 - One Month Accommodation Remaining Fee (due one month before the program start) (non refundable)$800 - Two Month Accommodation Remaining Fee(due one month before the program start) - (non refundable)

Credit / Debit Card *

Total

CNS Rotations Registration

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