First Name:            

Last Name:    

Title:             

Company:       

Address:         

City:                       State:      Zip: 

Phone:                    Fax:    

e-mail:           
                       (You must include your e-mail for enrollment in on-line classes.)

  On-line Class

        Program Title:         

        Date of Class:               

Introductory Fee: $209.00 ($229 non-Member)
Intermediate Fee: $409.00 (You must be a Member)
Advanced Fee: $549.00 ($599 non-Member)

  Exam Only - Introductory Level Classes

      Program Title:         

        Date of Class:               Fee: $ 75 Members

CMBS Power Weekend
Certified Medical Billing Specialist^®

I would like to attend the CMBS Power Weekend in 
    Month:         
    Location:     .
        $450 MAB Members, $500 non-members

To sit for the CMBS certification you must be a member of the MAB.  Non-members may take the class for a Certificate of Completion.

CMBS-Instructor Train-the-Trainer

I would like to attend the CMBS-I Train-the-Trainer Class in 
    Month:         
        $600 MAB Members