CNA Exam Checkout

Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Product
Service
Departament
Select Location*

8040 NW 95th ST Suite 219 Hialeah Gardens FL 3301611820 Miramar Parkway Suite 219 Miramar FL 33025

The $15.00 prepayment is to reserve your appointment.

When making the payment at our location, you will only be charged the difference of the total amount of the service.

If you do not attend your appointment on the scheduled day and time, please note the reservation fee is not refundable.
Select Payment Method*

PayPal
SQUARE - Advanced Payment $15
Service: {service}

Click Here
PayPal - Advanced Payment $15
Service: {service}

After making the payment on PayPal, it is mandatory to return to the form and complete it.

Click Here
I confirm that I have made the payment successfully.
Should be Empty:

8040 NW 95th ST Suite 219 Hialeah Gardens FL 33016