NCLEX RN/LPN REVIEW REGISTRATION

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NCLEX RN/LPN Review Course

First Name

Last Name

Email

Birthday

Phone

I want my supplies to be shipped to me.( provide shipping address on next page)

I DO NOT want my supplies shipped.I will come in person to pick them up.

Are you an LPN or RN review student?

LPN Student

RN Student

3 Ways to pay

1. Pay in Full

2. Payment plan with Afterpay $ 237.50 every 2 weeks for 6 weeks *Subject to approval

3. In-house financing $600 Down payment and remainder ( $350) due in 3 weeks from first payment

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