Payment Information:
Select payment type
[reg_PmtType]
Card number
Card expiration date
Name on the credit card
Zip Code
i
Purchase Order number
Send payment and a copy registration to
Gladhill Associates International
4846 West Cochise
Glendale, AZ 85302
Phone: (623) 939-4412
Send payment and a copy registration to
Gladhill Associates International
4846 West Cochise
Glendale, AZ 85302
Phone: (623) 939-4412
Payment to
Gladhill Associates International
Students
[student_count]
X
Cost/Student
[course_Price]
=
Total payment (US$)
[payment_total]