Please
complete the form below to submit your payment. If you experience any
problems with this website, please contact us at 1-877-250-9799.
Billing Information
Payment Method*
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Payment Information
Payment Type
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* = Required Information
Agreement Terms And Conditions
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I authorize UMA Education, Inc. d/b/a Ultimate Medical Academy through its payment processor PayPal, Inc.
to debit the bank account or credit card indicated in this web form, for the noted amount and in the case of monthly recurring payments,
on the date stated above in the frequency stated above. This payment is for my tuition and fees at Ultimate Medical Academy.
I understand that refunds and cancellations are handled according to the Ultimate Medical Academy Cancellation and Refund Policies section identified in the school catalog.
I understand that if I wish to change and/or cancel monthly recurring payments, I must call the Student Accounts team at 1-877-250-9799.
I understand that because this is an electronic transaction, in the case of monthly recurring payments,
these funds may be withdrawn from my account or charged to my credit card on or after the above-noted transaction date,
which shall not be a date more than three (3) days from the date requested above. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF),
I understand that UMA Education, Inc. may, at its sole discretion, attempt to process the charge again within thirty (30) days.
I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.
I certify that I am an authorized user of the credit card or bank account identified above and that I will not dispute the payment with PayPal, Inc.,
my credit card company, or bank, so long as the transaction corresponds to the terms indicated in this web form.
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VISA
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AMEX
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Your Student ID number is located in the top left corner of your monthly billing
statement. If you are unable to locate your Student ID number please contact Student
Accounts at 1-877-250-9799.
This is the number of monthly payments you want to be made.