USERNAME:
PASSWORD:
Home
About PTE
- About Us - Policies/Tuition - Schedule - Contact Us/Directions
Apply Now
Calendar
Testimonials
Meet The Director
Photos/Videos
Buy Your Book Now Pharmacy Technician Enterprises, Inc. on Facebook
If paying by check or money order, please complete this form and mail payment to: Pharmacy Technician Enterprises, Inc., 601 Portion Road Suite 208 Lake Ronkonkoma, NY 11779
If paying by credit card, please complete the following electronic application. The process is not complete until your credit card has been successfully charged.
Check desired 2010 Sessions
Session II 2010Session III 2010
Check desired Session IV 2010
Session IV 2010
First Name:
Last Name:
Street Address:
City:
State Abreviation:
Zip:
Home Tel. No.:
Work Tel. No.:
Cellphone No.:
Email Address:
Date of Birth:
Last 4 digits of Social Security No.:
Name of High School or Secondary School attended:
Year Graduated:
Lab Coat Chest Size (inches):
Are you interested in a Payment Plan:
Yes No
back to top
Copyright © 2008. Pharmacy Technician Enterprises. All rights reserved.