Enroll with PayPal or Credit Card Please use this form to enroll and pay with PayPal or a credit card.First Name *Last Name *Email Address *Street Address *Apartment, suite, etcCity *State *ZIP / Postal Code *Phone Number *Are you enrolling for in-person or virtual instruction? *Please select an optionIn-personVirtualIf you selected in-person instruction, would you consider virtual instruction if there are not enough students enrolled for in-person? *Please select an optionYesNoWhat session are you enrolling for? *How did you hear about MedCode Logix? *Do you have medical coding experience? *Please select an optionYesNoDo you have any knowledge of medical anatomy and terminology? *Please select an optionYesNoPayment OptionsOption A: Pay in Full – $3,895 (+fees) w/PayPal or Credit CardOption B: Down Payment – $895 (+fees) w/PayPal or Credit CardTotal$TextEnroll
