Enrollment
Checkout
Medical Billing & Coding Program
Please fill out the form below to enroll in the Medical Billing & Coding Program. Upon successful completion of the form below, check your email to get started!
Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
Medical Billing & Coding Online Program
*
One-Time Payment ($2,599)
3 Monthly Recurring Payments ($866.33 each)
7 Monthly Recurring Payments ($371.28) each)
Total Payment Due Today:
Credit Card
*
Card Details
Cardholder Name
Checkout Terms
By agreeing to the terms and conditions of payment and signing my name below, I acknowledge and agree that I will receive a Certificate of Completion from Gwinnett Technical College (the “Institution”) once I have successfully completed the program. After completing the checkout, I will receive a receipt for my enrollment with an attached Registration Form completed with the information submitted here when creating my online account. (Name, Address, etc.) With my signature to complete the online payment, I acknowledge that I have read and understand the checkout terms and conditions for service and/or any applicable payment plan obligations, finance charges and/or monthly payment requirements (if payment plan option was selected) as required and/or collected through the processor(s) leveraged by this site on the Institution's behalf, as directed and authorized by the Institution. More information and links to the Drop/Return/Cancellation Policy can be found in the
Terms of Service
.
Signature
*
Δ
Scroll to Top