This is an online course. By purchasing this product, you are acknowledging that this product consists of intellectual property as opposed to a physical product. Once your registration is complete, you will receive a welcome email containing your registration details. You will need to create your login to sign your compliance agreement and gain access once the online course begins. Always be sure to check your junk/spam mail if you are unable to locate the email. Please note that all initial registration payments are processing fees and therefore final and we reserve the right deny your registration at anytime at our discretion. However, recurring payments can be stopped at any time if you do not wish to continue the course. After completetion of payments, all course material is available for use for up to 1 year at our discretion. Email us at support@JonathanFergusonENT.com with any questions or concerns.