Career Step

Please fill out the form below to continue to the course demo.

• *First Name:
• *Last Name:
• Are you already a Career Step Student or Graduate?
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• • Send by mail:
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• • Street Address:
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• *Zip Code:
• • *Email:
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• Phone:
• How did you hear about Career Step?
• -- Select -- TV ad Infomercial Radio Ad Print Ad (magazine, newspaper) Convention Seminar Search Engine (Google, Yahoo, etc.) Web Link (Facebook, My Space, blog, etc.) Company Referral (MTSO, coding company) Company Website Hospital/Health Care Provider News Article/Report Personal Referral Professional Referral CS Student or Graduate AHDI Representative AAPC Representative AHIMA Representative MTIA Representative Operation Life Transformed CWJC Women For Hire Homeschool University of Phoenix

• Please tell us about who referred you
• First Name:
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• Organization:
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• Phone:
• Address:
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• Ad ID Code:
• Each advertisement has an ID Code. Enter the ID Code in the field above
• Publication or
  Station Name:

• Event Location:
• Enter the location of the seminar, convention or trade show above.

• Website/Engine:
• Enter the name or address of the website or search engine.