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YMHC Online Courses Manual Payment Form

YMHC Online Courses Manual Payment Form for Direct Billing, Wire Transfer, EFT, Purchase Order, Cheque, or E-Transfer

Use this form if you cannot pay online by credit card. After you submit, YMHC will issue an invoice. Once payment is received (or your PO is approved), we will confirm your registration and add attendees to the course portal. Please provide the best email for invoicing and ensure all attendee names/emails are accurate.

Organization Name

Department / Team

Billing Contact – Full Name

Billing Contact – Title/Role

Email Address

Phone Number

Were you a registered attendee of YMHC's 2026 National Conference, Waves of Change in School Attendance Challenges (May 29-30, 2026)?

If yes, please check Yes and use the same email address you used to register for the conference. You may be eligible for a conference attendee discount if you are registering for the online course "School-Wide Strategies to Support Students with School Attendance Challenges." This special conference attendee rate is for registered conference attendees only. It cannot be combined with any other discount, including group rates.
Were you a registered attendee of YMHC's 2026 National Conference, Waves of Change in School Attendance Challenges (May 29-30, 2026)?
A
B

Full Billing Address

Street

City

Province/State

Postal/Zip

Country

Registration

For pricing details: https://courses.ymhc.ngo/

Are you registering for

Are you registering for
A
B
Prices shown do not include sales tax. Applicable taxes will be added to the final invoice total.

Number of attendees you are registering

Payment Method & PO Details

Will you submit a purchase order?

Will you submit a purchase order?
A
B

Payment method you will use

Payment method you will use
A
B
C
D

Attendee List

Please list every attendee exactly as you want it to appear on their certificate.
Each attendee must have a unique email address for portal access. If work emails block automated messages, use a personal email (e.g., Gmail/Outlook).

Attendee List

Please include:
First name (required)
Last name (required)
Unique email address (required)
Example:
Jane Doe, jane.doe@example.com

Agreements

I have read and agree to the YMHC Online Course Terms and Refund Policy
I understand that this online course is non-refundable once accessed.
I confirm the attendee list is accurate and I understand that portal access emails will be sent to the email addresses provided.