HFMA Certification 2009-2010 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, 2010).
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
Contact Information:
*First Name:
*Last Name:
HFMA Member ID:
Title:
Organization:
* Street Address Line 1:
Street Address Line 2:
* City:
* State:
* Zip:
Country:
Phone #:
-
-
ext.
Cell Phone #:
Valid for orders recieved by December
31, 2010 only. (non-refundable)
$25 per each copy of a course for 2 day delivery
$45 per each copy of course for next day delivery
Merchandise Total
Illinois residents only; Add 10% of merchandise total for tax.
Tax
Shipping
Total Price
NotePlease allow 2 business days for processing order payment for
ONLINE charge payment and 10 business days for check payment.
Books are shipped after
payment is processed. If next day shipping is not requested, all
orders are shipped via
FedEx 2 Day delivery service and
arrive in 2 business days, contingent on destination. FedEx
cannot ship to a P.O. Box number.
Payment Information
The exam corresponding with the 2009-2010 course materials
is available only until December 31, 2010 For more information on the HFMA
certification program, visit www.hfma.org
