HFMA's Revenue Cycle Staff Training Series Order Form
If you are not remitting a credit card for this product purchase, please call the HFMA Member Service Center at 800/252-4362, extension 2 to place your order. You may also order this product by printing, completing this order form, and faxing to 708/531-0665. Thank you.
*First Name
*Last Name
Title
Organization
*Phone Number
*Email Address
Shipping Address
*Address 1
Address 2
*City
*State
*Zip Code
Country
HFMA Special! Buy One Training Package, Get One 1/2 Price!
Module 1: Essential Customer Service Training ($1,499.00)
Quantity:
Total:
Module 2: Essential Revenue Cycle Training ($1,499.00)
Quantity:
Total:
Discount Applied
Subtotal:
Enhanced Training Packages
Includes all of the benefits of the Essential Package AND includes an expert HFMA facilitator to personally lead your organization’s training as your office, as well an optional "train the trainer" session.
Module 1: Enhanced Customer Service Training
($5,000.00)
Quantity:
Total:
Module 2: Enhanced Revenue Cycle Training
($5,000.00)
Quantity:
Total:
Additional Product (Module 1)
Package of 25 additional participant workbooks ($375.00)
Quantity
Total:
One (1) additional facilitator guide ($100.00)
Quantity
Total:
Additional Product (Module 2)
Package of 25 additional participant workbooks ($375.00)
Quantity
Total:
One (1) additional facilitator guide ($100.00)
Quantity
Total:
Shipping Rates:
$25 per each copy of a course for 2 day delivery
$45 per each copy of course for next day delivery
Product Total
Tax
Shipping
Total
Where did you find out about this product?
We will charge IL sales tax and shipping. Tax exempt organizations need to provide their sales tax exemption.
Please call HFMA’s Member Services Center at (800) 252-4362 for assistance.
All purchases on packaged training products are non-refundable.
*Each module or each set of 25 books constitutes a shipment.
