ePayU Application

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ePayU Application

Thank you for your interest in ePayU Virtual Learning! You will be notified once we have reviewed your information and confirmed your ePayResources membership.

Application Information

Are you an existing Affiliate member?*

Yes No, I am interested in membership and ePayU

Name of Individual Making this Request*

First Name*

Last Name*

Email*

Phone Number*

Name of Organization*

Organization Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Who would you like to grant ePayU access to?*

Myself Multiple people at my organization My whole organization

How many people at your organization would you like to grant ePayU access to?*

Payment Choice*

Credit Card (charge to account indicated below: VISA, Mastercard, or American Express) ACH Debit (to account on file)

Credit Card*

Credit card information submitted through this form is encrypted.

Name on the Card*

ZIP Code*

What type of content do you hope to access in ePayU? *

Self-paced Recorded Webinars Mini Sessions "Ted Talks" Podcasts Certifications/Degrees Check All

What payments topics do you hope to learn about in ePayU?*

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