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"*" indicates required fields Which state would you like to attend class?*SelectArizonaKentuckyOhioHow did you hear about us?*SelectOnline SearchReferred from a FriendDental OfficeFunding SourceFirst Name* Last Name* Email* Phone*Session*SelectWinter 2023: Saturday, December 2Spring 2024: Saturday, March 2Summer 2024: Saturday, June 1Fall 2024: Saturday, September 7Winter 2024: Saturday, December 7CPR Class: February 24, 2024 from 9-12CPR Class: August 31, 2024 from 9-12Location*SelectGoodyear, AZLocation*Select4845 Rialto Rd suite B in West Chester, OhioLocation*SelectWest Chester, OhEastgate, OhColerain, OhKenwood, OhSpringboro, OhHilliard, OhLocation*SelectFlorence, KYProgram Type*SelectAdministrativeClinicalBoth (Only held at West Chester, OH)Program Type*SelectCPR ClassPayment Options*SelectOption 1: -$125.00 due with the registration form -$3,370.00 is due on or before the first day of classOption 2: -$125 due with the registration form -5 x $709 due every other Monday the week of classOption 3: -$125 due with the registration form -$1,000 due by enrollment -5 x $509 due every other Monday the week of classPayment Options*SelectOption 1: -$125.00 due with the registration form -$3,370.00 is due on or before the first day of classOption 2: -$125 due with the registration form -5 x $709 due every other Monday the week of classOption 3: -$125 due with the registration form -$1,000 due by enrollment -5 x $509 due every other Monday the week of classPayment Options*SelectOption #1 -$125.00 due with the registration form -$3,160.00 due before the start of class on the first day -TOTAL $3,790OPTION #2 -$125.00 due with the registration form - 5 X $793.00 biweekly payments due on or before the start of the last session -TOTAL $4,090OPTION #3 --$125.00 due with registration form -$1,000 down due with the registration form - 5 X $593.00 biweekly payments due on or before the start of the last session -TOTAL $4,090Registration Fee* Price: ** Registration fee is deducted from your total tuition and is non-refundable. ** $125 fee + 2.5% processing feeRegistration Fee* Price: ** Registration fee is deducted from your total tuition and is non-refundable. ** $125 fee + 2.5% processing feeRegistration Fee* Price: ** Registration fee is deducted from your total tuition and is non-refundable. ** $125 fee + 2.5% processing feePayment Information*Please check your Paytrace Add-On settings. 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I hereby authorize The Union Centre Institute to initiate ACH debits to my bank account. I understand I may revoke this authorization by calling Katie Dougherty @ 513-855-5100 or emailing Katie within 3 business days prior to the authorized processing date. All transactions and refunds are handled on a case-by-case basis. Please contact Union Centre Institute if you have questions or concerns regarding any transaction or refund.NameThis field is for validation purposes and should be left unchanged.