Payment Plan Request

Payment Plan Requested By Client *Your First & Last Name *Your BEST Phone Number *An Email Address That You Check FrequentlyWho Is Your PTI/AEP Case Manager? *Which Home Study Course Did Your Case Manager Tell You To Take? *Please acknowledge that you understand that although you are being given a payment plan - you are aware that your Completion Certificate will not be sent to your Case Manager until your course is paid for in full *
Payment Plans are only available with workbook courses *
Yes - I understand
No - I do not understand
The Payment Plan is: $50 to start the course, and another $50 automatically billed to your card in 19 days *
Yes, I Agree
No, I do not agree
If the 2nd payments does not process successfully, our office will get in contact with you and work with you on making the 2nd payment. Please note that your certificate of completion will not be provided until payment in full is made
Please acknowledge your understanding of the first and second payment described above *
Yes - I understand the Payment Plan
No - I do not understand the Payment Plan

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Payment Plan Login

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