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HFMA Certification 2007-2008 Self-Study Course Order Form

Refund Policy: Refunds will be granted only for self-study course materials (binders and inserts) returned unopened and unused within 30 days of the order date and prior to the expiration date of the expiration date of the course (December 31, 2008).

Submit this form:

Electronically (for charge payment only):
At the bottom of this page using the submit button

By FAX (for charge payment only):
708-531-0665 charge orders only

By Mail (for check or charge payment):
HFMA
Attn: Accounting Department
2 Westbrook Corporate Ctr., Suite 700
Westchester, IL 60154

Ship to
Company/Organization
Name
HFMA Member No.
Address
No P.O. Boxes please
City
State
Zip
Day time phone for shipping address
*Email
Course Code Course Qty Unit Price Total Price
CCORE07 HFMA Certification Core Program (2007-2008) $325
CACCT07 HFMA Certification Accounting and Finance Specialty (2007-2008) $295
CPFS07 HFMA Certification Patient Financial Services Specialty (2007-2008) $295
CPPM07 HFMA Certification Physician Practices Management Specialty (2007-2008) $295
CMC07 HFMA Certification Managed Care Specialty (2007-2008) $295
Merchandise Total
Illinois residents only; Add 7.75% of merchandise total for tax.
 Tax
Shipping
Total Price
Shipping Rates: $12 per each copy of course, $25 per each copy of a course for 2 day delivery, or $45 per each copy of course for next day delivery

Note: Please allow 2 business days for processing order payment for charge payment and 10 business days for check payment. Books are shipped after payment is processed. If expedite shipping is not requested, all orders are shipped via UPS ground service and arrive in 5-10 business days, contingent on destination. UPS cannot ship to a P.O. Box number.

Payment Information
Check enclosed, made payable to HFMA. Order form must be mailed.
Charge my: Visa Mastercard
American Express Discover Card
Card Number:
Expiration Date:
Cardholder's Name:
Cardholder's Signature:
(Type in your name, which will be taken as your signature.)
Cardholder's Phone Number:
Cardholder's Fax Number:

The exam corresponding with the 2007-2008 course materials is available only until December 31, 2008. For more information on the HFMA certification program, visit www.hfma.org and click on certification.