The Network Offerings Payment Form Application Submitter Information Application Submitter Name* First Last Application Submitter Agency/Organization* Type N/A if this is not applicable Application Submitter Email* Application Submitter Phone* Payment Description Please select quantities for the catalog offering order: Catalog Offering – Price Select Quantity* Item Total Repeat Use Form – $15 $ Continuing Education Credit Application: 1 to 3 hours – $50 $ Continuing Education Credit Application: 3.5 to 6 hours – $65 $ Continuing Education Credit Application: 6.5 to 12 hours – $80 $ Continuing Education Credit Application: 12.5 to 18 hours – $95 $ Session Specific Form (Part of Grand Rounds Series) – $25 $ Rush Processing – $75 $ Total Payment Amount $ Please provide the titles of the sessions and dates that the selected events are taking place. Refund Policy No refunds. Cardholder Name* First Last Proceed to Payment Please verify all information is correct, and then click the “Proceed to Payment” button above. You will then be transferred to a secure Nelnet Payment form where you may enter credit card information.