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Expiration Date: ____/ ____/  (mm/YY)
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Personal Information
Name: ________________________________
Address: ______________________________
Address Line 2: _______________________
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Phone: ________________________________
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If you want to make the payment through check or ACH please E-mail us at: cs@virtual-webinar.com

Conference Title: HIPAA Privacy Rule Compliance-Understanding New Rules and Responsibilities of Privacy Officer
Conference Date: Feb 25, 2021
Quantity Price Total
Recording $1499
DVD $1519
Recording + DVD $1669
Transcript (Pdf) $1499
Recording & Transcript (Pdf) $1659
DVD & Transcript (Pdf) $1669
Coupon Code
Total
Please send the completed order form via fax or e-mail
Note: All the order related material (Presentation, Transcript etc.) shall be fulfilled through the included email address only.

For any queries call at +1-866-879-1354 or email at cs@virtual-webinar.com