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We are thrilled to have you as a new Kidney Academy Educational Partner*!

Educational Partner Process:
  1. Please complete the form below.
  2. Once the form is received, we will contact your accounting person within 24-28 hours to collect billing information. No payment is required at this time. 
  3. Once payment has been received, we will contact your marketing person for the company logo and explain steps to get started.
*Educational Partner agreement last one year. 

Question Title

* Company Contact Information

Question Title

* Accounting Person Contact Information
Kidney Academy will collect payment from your accounting person through one of the following methods within the next 24-48 hours.
a. ACH Direct Deposit (domestic)
b. Mail check payable to Kidney Academy, Inc.
c. Wire (international only)
d. Credit Card (MC, Visa, AmEx, Discover)

Question Title

* Marketing Person Contact Information
(This person will manage your company profile on Kidney Academy.)

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