CNA , Med Tech, Pharm Tech home study programs

Order Form for Registering through the mail...

If you do not have a printer, just print clearly on a sheet of paper and mail with payment.  You are allowed to combine payments into one money order or certified bank check.  I do NOT accept personal checks, the ones out of your checkbook.   Do NOT send cash through the mail.  Thank you!

NAME:  __________________________________________________________________________________

Mailing Address:  This is where you want your books and receipt mailed.



Email Address:  ____________________________________________________________________________

Phone number (either home and / or cell):  _______________________________________________________


Circle:   North Carolina materials,      Florida CNA home study program,     Florida HHA class

~ Registering for:

Circle:  CNA home study and skills DVD supplement   ~    Pharmacy Tech home study    ~   CNA skills DVD only   ~  CNA practice tests and skills DVD   ~  CNA practice tests only    ~  NC  Med Tech home study program   ~   Med Tech DVD only   ~  Florida HHA class


Fee Enclosed:  $_______________________________________

Mailing address for payment and registration form:

Danielle Hossler     10735 Weeping Elm Bend,   Land O Lakes,   FL   34638


~ If you do NOT have your books within five business days, email me.   I have tracking numbers on all packages.  If you are paying in the "Web Store" (online), you do NOT need to mail or fax this form. Thank you!