REGISTRATION
NCLEX REVIEW
Student Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
NCLEX Review
*
NCLEX - RN
NCLEX - LVN
NCLEX Review Schedule
*
September 19 - October 18, 2020
November 7 - December 6, 2020
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you new student?
*
Yes. Review fee $799
No. Review fee $499
Payment options:
*
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next
( X )
Full payment
$799.00
$
799.00
Returning Student - ARI Alumni
$499.00
$
499.00
Total
$0.00
$
0.00
Credit Card
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