Classic Training Academy Payment Plan Form
This Form is for Payment Plans only (50% is REQUIRED for any down payment on Any Policies & Procedures) 40% Deposit on Courses are REQUIRED BEFORE Class Starts (does NOT apply to Home Care Course)
Student's Name
*
First Name
Last Name
Student's Phone Number
*
Student's Email
*
example@example.com
Select Course
*
Please Select
OSHA 10 $160
OSHA 30 $260
CNA 1
Medical Assistant
Phlebotomy Technician
Pharmacy Technician
Medication Aide
Alignment $200(CPR Instructor Only)
CPR Class $55 (Card not included)
Homecare Provider Training Course
Great Bundle & Save
Total Solution Start Up Package
Homecare Training Policies
Family Home Policies
HR/Client Forms
Employee Handbook
Medicaid Manual
Janitorial
CLIA
Consultation
Please fill out the next 3 boxes below if it's for *Home Care Training CLASS*
Agency Name Or Applicant Name
Franchise Company
Please Select
Yes
No
Class date desired
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Amount $:
Amount $:
*
prev
next
( X )
USD
Course Description
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Student's Signature
*
Submit
Should be Empty: