I, , do hereby agree to pay The Institute of Medical and Dental Technology my access code balance in full of $ by . I agree to pay this amount within 30 days from the date of enrollment on .

I am obligated to make the required payment in the full amount listed above. I understand that in order to move forward in the program, receive my Certificates, Participate in Graduation, sit for National Exams, and receive Education Verifications, payment must be paid in full.

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Document name: Access Code Payment Agreement

Unique Document ID: 8b6882254d60c04f3a881d1ae65bf8c9b2299474

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Timestamp	Audit
March 21, 2023 2:15 pm GMT	Access Code Payment Agreement Uploaded by Greg Goins - [email protected] IP 99.190.9.234
March 21, 2023 2:16 pm GMT	TMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
March 21, 2023 2:16 pm GMT	TMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234

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Audit Trail Serial# 429b6708aa46c8c68879a69cf092b72c