布雷西亚大学CEU注册 布雷西亚大学CEU登记表 Personal Information名字* 第一个 最后的 Address* Street Address Address Line 2 城市 State / Province / Region ZIP / Postal Code Afghanistan阿尔巴尼亚阿尔及利亚American 萨摩亚安道尔安哥拉AnguillaAntarcticaAntigua and BarbudaArgentina亚美尼亚阿鲁巴岛Australia奥地利AzerbaijanBahamas巴林BangladeshBarbados白俄罗斯Belgium伯利兹贝宁百慕大不丹玻利维亚博内尔、圣尤斯特歇斯和萨巴Bosnia and HerzegovinaBotswanaBouvet Island巴西英属印度洋领土Brunei DarussalamBulgariaBurkina Faso布隆迪Cabo VerdeCambodiaCameroon加拿大Cayman IslandsCentral African Republic乍得智利中国Christmas IslandCocos IslandsColombia科摩罗刚果刚果民主共和国Cook IslandsCosta RicaCroatia古巴库拉索岛塞浦路斯CzechiaCôte d'Ivoire丹麦DjiboutiDominicaDominican Republic厄瓜多尔埃及El SalvadorEquatorial 几内亚厄立特里亚爱沙尼亚EswatiniEthiopiaFalkland IslandsFaroe Islands斐济芬兰法国French GuianaFrench Polynesia法国南部领地加蓬冈比亚乔治亚州Germany加纳Gibraltar希腊Greenland格林纳达Guadeloupe关岛GuatemalaGuernsey几内亚几内亚-Bissau圭亚那海地赫德岛和麦克唐纳岛Holy SeeHondurasHong Kong匈牙利冰岛印度Indonesia伊朗伊拉克爱尔兰Isle of Man以色列意大利牙买加日本泽西岛约旦Kazakhstan肯尼亚Kiribati朝鲜,民主主义人民共和国Korea, Republic of科威特Kyrgyzstan老挝人民民主共和国拉脱维亚Lebanon莱索托利比里亚利比亚LiechtensteinLithuaniaLuxembourg澳门Madagascar马拉维MalaysiaMaldives马里马耳他Marshall IslandsMartiniqueMauritaniaMauritius马约特岛墨西哥Micronesia摩尔多瓦摩纳哥MongoliaMontenegroMontserrat摩洛哥Mozambique缅甸纳米比亚瑙鲁尼泊尔NetherlandsNew CaledoniaNew ZealandNicaragua尼日尔尼日利亚纽埃岛Norfolk IslandNorth MacedoniaNorthern Mariana Islands挪威阿曼Pakistan帕劳Palestine, State of巴拿马Papua New 几内亚Paraguay秘鲁PhilippinesPitcairn波兰PortugalPuerto Rico卡塔尔罗马尼亚Russian Federation卢旺达团聚Saint Barthélemy圣赫勒拿岛、阿森松岛和特里斯坦达库尼亚岛Saint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and Miquelon圣文森特和格林纳丁斯萨摩亚San MarinoSao Tome and PrincipeSaudi ArabiaSenegal塞尔维亚SeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon Islands索马里South Africa南乔治亚岛和南桑威奇群岛South 苏丹西班牙Sri Lanka苏丹SurinameSvalbard and Jan Mayen瑞典SwitzerlandSyria Arab Republic台湾Tajikistan坦桑尼亚,联合共和国ThailandTimor-Leste多哥托克劳汤加Trinidad and Tobago突尼斯TurkmenistanTurks and Caicos Islands图瓦卢TürkiyeUS Minor Outlying Islands乌干达乌克兰United Arab EmiratesUnited KingdomUnited States乌拉圭Uzbekistan瓦努阿图VenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern Sahara也门赞比亚ZimbabweÅland Islands Country 电话*电子邮件* Payment Information课程* Ethics in Licensure Pediatric Head Trauma Suicide Assessment & Prevention Domestic Violence & Elder Abuse Payment Amount* Convenience Fee (1.25%) 价格: $0.00 总计 $0.00 Billing Information名字* 第一个 最后的 Address* Street Address Address Line 2 城市 State / Province / Region ZIP / Postal Code Afghanistan阿尔巴尼亚阿尔及利亚American 萨摩亚安道尔安哥拉AnguillaAntarcticaAntigua and BarbudaArgentina亚美尼亚阿鲁巴岛Australia奥地利AzerbaijanBahamas巴林BangladeshBarbados白俄罗斯Belgium伯利兹贝宁百慕大不丹玻利维亚博内尔、圣尤斯特歇斯和萨巴Bosnia and HerzegovinaBotswanaBouvet Island巴西英属印度洋领土Brunei DarussalamBulgariaBurkina Faso布隆迪Cabo VerdeCambodiaCameroon加拿大Cayman IslandsCentral African Republic乍得智利中国Christmas IslandCocos IslandsColombia科摩罗刚果刚果民主共和国Cook IslandsCosta RicaCroatia古巴库拉索岛塞浦路斯CzechiaCôte d'Ivoire丹麦DjiboutiDominicaDominican Republic厄瓜多尔埃及El SalvadorEquatorial 几内亚厄立特里亚爱沙尼亚EswatiniEthiopiaFalkland IslandsFaroe Islands斐济芬兰法国French GuianaFrench Polynesia法国南部领地加蓬冈比亚乔治亚州Germany加纳Gibraltar希腊Greenland格林纳达Guadeloupe关岛GuatemalaGuernsey几内亚几内亚-Bissau圭亚那海地赫德岛和麦克唐纳岛Holy SeeHondurasHong Kong匈牙利冰岛印度Indonesia伊朗伊拉克爱尔兰Isle of Man以色列意大利牙买加日本泽西岛约旦Kazakhstan肯尼亚Kiribati朝鲜,民主主义人民共和国Korea, Republic of科威特Kyrgyzstan老挝人民民主共和国拉脱维亚Lebanon莱索托利比里亚利比亚LiechtensteinLithuaniaLuxembourg澳门Madagascar马拉维MalaysiaMaldives马里马耳他Marshall IslandsMartiniqueMauritaniaMauritius马约特岛墨西哥Micronesia摩尔多瓦摩纳哥MongoliaMontenegroMontserrat摩洛哥Mozambique缅甸纳米比亚瑙鲁尼泊尔NetherlandsNew CaledoniaNew ZealandNicaragua尼日尔尼日利亚纽埃岛Norfolk IslandNorth MacedoniaNorthern Mariana Islands挪威阿曼Pakistan帕劳Palestine, State of巴拿马Papua New 几内亚Paraguay秘鲁PhilippinesPitcairn波兰PortugalPuerto Rico卡塔尔罗马尼亚Russian Federation卢旺达团聚Saint Barthélemy圣赫勒拿岛、阿森松岛和特里斯坦达库尼亚岛Saint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and Miquelon圣文森特和格林纳丁斯萨摩亚San MarinoSao Tome and PrincipeSaudi ArabiaSenegal塞尔维亚SeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon Islands索马里South Africa南乔治亚岛和南桑威奇群岛South 苏丹西班牙Sri Lanka苏丹SurinameSvalbard and Jan Mayen瑞典SwitzerlandSyria Arab Republic台湾Tajikistan坦桑尼亚,联合共和国ThailandTimor-Leste多哥托克劳汤加Trinidad and Tobago突尼斯TurkmenistanTurks and Caicos Islands图瓦卢TürkiyeUS Minor Outlying Islands乌干达乌克兰United Arab EmiratesUnited KingdomUnited States乌拉圭Uzbekistan瓦努阿图VenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern Sahara也门赞比亚ZimbabweÅland Islands Country 电话*电子邮件* CAPTCHA我们接受支票或信用卡付款. 以支票付款,支票抬头请注明“布雷西亚大学专业发展”.请将费用邮寄至以下地址: Brescia University 717 Frederica Street Owensboro, KY 42301 如需信用卡付款,请访问http://pfib.sqzibizheng.com/pay/. 输入付款信息时,请在付款原因下拉框中选择“其他付款”. 然后在“附加信息”部分的评论框中键入“CEU课程”. 电子邮件该字段用于验证目的,应该保持不变.