ALS Hearing Healthcare “New Dispenser” Training Class Enrollment Form

October 11th-15th, 2021


To enroll for an ALS 5-Day Hearing Healthcare “New Dispenser” Training Class please complete the enrollment form below. When submitted, a representative will process your enrollment and email your class confirmation. Class space is limited to the first 10 students per class.

Total Tuition: $3,695.00 (All Inclusive)
Minimum deposit required to enroll: $500.00
Tuition Balance: $3,195.00 (due 30 days prior to class date)

Tuition includes hotel accommodations in Daytona Beach, Florida for five (5) nights, complete set of course materials w two video courses, all meals, airport shuttle service, daily transportation and much more.

Applicant Information 


Fields marked with a * are required.

October 11th - 15th, 2020  |  Monday - Friday

The ALS 5-Day Hearing Healthcare “New Dispenser” Training Class preferred payment method is via credit card. Please check the appropriate box below.

Applicants Paying via Credit Card
ALS 5-Day Hearing Healthcare “New Dispenser” Training Class accepts Master-Card, VISA, American Express & Discover Card Payments.

NOTE: Applicants paying via Check or Money Order please make payable and send to:

Alan Lowell Seminars, Inc.
d/b/a ALS 5-Day Hearing Healthcare “New Dispenser” Training Class
5889 S. Williamson Blvd., Suite 1409
Port Orange, FL USA 32128

Please note if you do not agree to the terms and conditions listed below your enrollment will not be processed. Please contact us by telephone to make other arrangements.

Applicants making payment by credit card hereby authorize Alan Lowell Seminars, Inc. to charge the applicant’s credit card for the additional unpaid tuition balance due on or before 30 days prior to the applicants scheduled class date unless other arrangements are made. Cancellation The person who completed the registration form agrees that if he or she cancels the registration within 30 days prior to the beginning of class, at the discretion of Alan Lowell Seminars, Inc. a portion up to 50% of the tuition may not be refundable if the class is booked to capacity and your reservation cannot be filled by another student. Dispute Resolution In the event of a dispute, the non-prevailing party will pay the other’s costs and attorney’s fee.