ORDER FORM

If you wish to pay by check, please fill out the form, print it, and mail it with payment
to Lexical CE. You may also pay with PayPal or credit card by clicking on the link to each course.

PERSONAL INFORMATION

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ORDER INFORMATION

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ORGANIZATION(S) OBTAINING CREDIT FOR:

NCRA GEORGIA CRTC NVRA VCRA OTHER and, if applicable, NONE NCRA GEORGIA CRTC NVRA VCRA OTHER

IF OTHER, PLEASE LIST:

SELECT COURSE(S)

PLEASE CHECK THE COURSE(S) YOU WISH TO PURCHASE.

5 CE Courses
Expanded Vocabulary - $95
Latin Words and Phrases - $95
Crossword I - General Knowledge - $95
Crossword II - Spelling - $95

10 CE Courses
Medical Terminology I - $190
Medical Terminology II - $190
Latin Words and Phrases II - $190
Latin Words and Phrases III - $190
Financial Terminology - $190
Punctuation - Quotation Marks - $190

Please select the correct total from the drop-down menu.

5-CE Course Total: NONE 1 5-CE Course - $95 2 5-CE Courses - $190 3 5-CE Courses - $285 4 5-CE Courses - $380
- or -
10-CE Course Total: NONE 1 10-CE Course - $190 2 10-CE Courses $380 3 10-CE Couses $570

PAYMENT INFORMATION

Please make checks payable to Elizabeth Gallo, Lexical CE.

Each 5 CE course costs $95. Each 10 CE course costs $190.

Send Payments to:
Elizabeth Gallo, Lexical CE
792 Grey Rock Road
Norcross, GA 30093

_________________________________________________________________________________________

If you would like to expedite the arrival of your course(s) at no additional charge,
after filling out all the information on this form, you may copy and paste this form
in an e-mail to info@LexicalCE.com, and I will send you
confirmation of receipt and mail your course(s) within 24 hours.
However, payment is due upon receipt of the course(s).

_________________________________________________________________

 

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