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Form Instructions:

1. Please complete entire form. Required fields are indicated by an (*).
2. When you click "Continue to Payment," your information will be sent to MCI's Business Office and you will be directed to make your payment through Paypal. Please note that MCI accepts Visa, MasterCard and Discover.

Student's Namerequired

Payment Information:

First Namerequired

Last Namerequired

Home Address:

Address 1required

Cityrequired

Staterequired

Zip Code

Country

Preferred Phone Numberrequired

Phone Typerequired

Email Addressrequired

Email Typerequired

Payment Amountrequired

Upon completion of this form you will be directed to give your payment information through MCI's Paypal page.

Please send a confirmation email to the address below*: