HRS Learning Center - General Payment Form
Name
*
First Name
Last Name
Email Address
*
example@example.com
Your organization (if applicable)
This form is used both for the payment of screening services and clock hour payments. Please fill out the information applicable to you.
Categories:
All
All
Screening Services
Clock Hour Payments
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Screening Services
Star CBM Screening
$150.00
$
150.00
Quantity
1
2
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10
Slingerland Screening
$575.00
$
575.00
Quantity
1
2
3
4
5
6
7
8
9
10
Clock Hour Payments
1 to 3 clock hours
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
4 to 6 clock hours
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
7 to 10 clock hours
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
ACH Bank Transfer
Klarna
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