GPDP Registration – CPIE Staff Discount GPDP Payment Form (CPIE Staff Discount) 1Personal Data2Terms & Conditions3Payment & Submit Name* First Last Username First Name and Initial of Last Name For Example, John Doe would be user “JohnD”Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Terms of Service*CONTRACT TERMS I agree to pay all course fees according to the payment schedule below for the WCLLC-CSULB/CPIE Ghostwriting Professional Designation Program; this contract is valid for the Fall 2019 cohort as follows: Course Fee (includes all materials): $4,395.00 Total Fee with CPIE Staff Discount: $2,765.00 REFUND POLICY Refund requests accepted by email or phone Refunds calculated based on the date the drop request is received by WCLLC Total Contract Fee 100% refund of the course fees paid prior to the start of class minus a $100 processing fee 65% refund of the course fees paid if student drops on or before Dec 18, 2019 $0 refunded if student drops after Dec 18, 2019 I agree to the Terms of Service You must scroll to the bottom of this box in order to proceed. Payment Terms* Pay here The full course cost is $3,950. With your CPIE staff discount, the total is $2765. Choosing “Pay here” will charge $2765 immediately. Pay here* Price: Due Now $0.00