Group Purchase Payment Form

Group purchase of on-demand course licenses

Note for existing groups: To help our team to process your payment, please use the same group name from your previous group orders, if applicable.

Please contact 904-800-1237 or info@pbieducation.com with any questions regarding submitting payment.

Group/organization Name(Required)

Your Name(Required)

First Last

Your Title

Your Department

Your Email(Required)

Your Phone Number(Required)

Course Selection

Please type the number of courses needed into the quantity box below each course. For purchases of more than 25 courses, contact our team for group discounts.

PBI Medical Chaperone Training Program (CTP-2)

Price: $55.00

PBI Navigating Professional Boundaries in Health Care (DR-2)

Price: $55.00

PBI Managing Clinician-Patient Conflicts (CPC-2)

Price: $55.00

Total

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Website(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Terms and Policies(Required)

I agree to PBI’s Terms and Policies.

Click here to review PBI Terms and Policies.

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