ENROLLMENT AGREEMENT – RDA Written + Law & Ethics Home Study

Dental Assisting Institute
3300 Tully Rd STE A6, Modesto, CA 95350
Tel: (209) 527-0101 Fax: (209) 661-9005
Info@dentalassistinginstitute.com
DentalAssistingInstitute.com

RDA Written + Law & Ethics Home Study - ENROLLMENT AGREEMENT

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TOTAL FEES, CHARGES, AND EXPENSES
COURSE TITLE				RDA Written / Law & Ethics Home Study Course

Program Description				RDA Written / Law & Ethics Home Study Course
Registration Fee:	$ 50.00
Tuition Fee	$
Book Fee	$100.00

Total Charges*	$ 150.00	Total you will be charged for your course of study
SCHEDULE OF PAYMENTS:		Down Payment		Paid on
Balance due:		$	on

*YOU ARE RESPONSIBLE FOR PAYMENT OF THIS AMOUNT.

By signing you understand and acknowledge that you have received and read the current course information and although placement assistance may be provided to you; you recognize that the school cannot promise or guarantee employment or income level to any student or graduate. Dental Assisting Institute does not provide refunds for courses unless the instructor cancels the course. Courses are non-transferable and non-refundable. By signing below, purchaser understands and accepts the policy of Dental Assisting Institute.

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