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New Customer
Required areas are starred "*"
 
Creating a user account:
      ...is required before you may register for a course or purchase product.
      ...automatically adds you to our personal mailing list-(no outside solicitation).

Once you have created an account you may log-in at any time and update your information, register or purchase products.

Important to Note:

Email addresses are used strictly by the Jones Institute to confirm registrations and product orders. They are not sold or given to any outside entity. If you have one; please give us your email address.

If you choose to be in the therapist search database of our website, please know that the only information that is given to the searching party is your name, SCS training, work phone, city, state and zip code.

*Jones Institute REQUIRES a registrants’ personal information for CEU History and Validity with State Boards. PLEASE PROVIDE when registering for a Course or Certification.

If you have any questions please contact us by email or phone at (760) 942-0647.


Course Registrant Information

*Jones Institute REQUIRES a registrants’ PERSONAL information for CEU History and Validity with State Boards. PLEASE PROVIDE when registering for a Course of Certification.
First Name:  * 
Middle Initial:
Last Name:  * 
Credentials:

Abbreviations only  
Examples: P.T., O.T., L.M.T.   
Street Address 1:  * 
 
Street Address 2:
Example: suite or apt. #
City:  * 
 
State:
 * 
Country:
Zip:  * 
 
Work Phone:  * 
 
Work Extension:
Home Phone:  * 
 
Cell:
Email:  * 
 
Confirm Email:  * 
  
Confirmation is sent via email. Hard copy confirmation is mailed out three weeks before the course. A receipt can be printed after completing the invoice or it can be obtained at any time by logging into your account and selecting "Orders". We protect your privacy and do not sell or trade your information.

Bill To

Company:  
Attn:  * 
 
PO:  
Street Address 1:  * 
 
Street Address 2:  
City:  * 
 
State:
 * 

Country:
Zip:  * 
 
Phone:  * 
 
Email:  * 
 
Confirm Email:  * 
  
Confirmation is sent via email. Hard copy confirmation is mailed out three weeks before the course. A receipt can be printed after completing the invoice or it can be obtained at any time by logging into your account and selecting "Orders". We protect your privacy and do not sell or trade your information.

Note: For orders with product you will be able to enter the “Ship To” information later, during the invoicing process.
Login Information

User ID: (6-12 digits) *  
Password: (6-10 digits) *  
Confirm Password:  *   

Include In "Search for Practitioner"?:  
(Only name, SCS training, work phone, city, state and zip code show to searching party.)