Get 301.451.6810 Fax - Hhs University - U.s. Department Of Health And ...

This guide provides clear instructions on how to fill out the 301.451.6810 FAX - HHS University credit card payment form online. It aims to assist users in completing the form accurately and efficiently.

Follow the steps to successfully complete the credit card payment form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the field labeled 'Name of Training', enter the name of the training you are registering for.
3. Fill in the 'Course Number' field with the appropriate course number associated with the training.
4. Indicate the date range of the training by entering the start date and end date in the 'Date(s)' fields.
5. Specify the 'Location of Training' by entering the venue or location details.
6. Input the 'Name of Participant' in the designated field.
7. In the 'Agency/OPDIV' section, circle the relevant agency from the options provided or write in another agency if applicable.
8. Enter the 'Telephone Number' and 'Fax Number' in the respective fields.
9. Provide an 'E-mail Address' for correspondence and updates about the training.
10. If registering a group, remember to attach a list of trainees containing the required information.
11. In the 'Amount of Payment' field, specify the total payment amount in dollars for the training.
12. Select the type of government credit card being used by checking the appropriate option: Visa, American Express, or Discover.
13. Enter the 'Credit Card Number' and 'Expiration Date' in the respective fields.
14. Provide the 'Cardholder Name', their 'Phone' number, and the 'Cardholder Address', including 'City/State' and 'Zip'.
15. The cardholder must sign in the 'Cardholder Signature' field and date the form.
16. Once you have completed all fields, review your entries for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your forms online for a seamless experience.