CC Registration

Identifying Information

Full Name

Address and Phone

Address 1

Address 2

City

State

ZIP Code

Country

Phone (enter numerals only, no dashes)

Email address

Payments and Discounts

I would like to pay for the Focus 15 Program using my credit card.

Yes

Please indicate the amount of your payment by selecting one of the radio buttons below. If you are eligible for any discounts, you must also select one or two of the check boxes below the payment amounts.

Note that the full cost of the program is $1,995, but if you pay in full with a credit card the price is reduced to $1,895.

Payment Amount

Pay In Full (savings of $100) - $1,895 Payment Plan - First Installment - $500 Bring a Buddy/Seasonal Discount - $1,705.50 Single Discount (check one discount box below) - $1,845

Discounts (select one or two based on Payment Amount above)

MUSC Employee/SpouseState Employee/SpouseCurrent Military/Veteran or SpouseActive MUSC Alumni Association/MUSC Society of 1824

Upon clicking submit, you will be redirected to the SC.gov website for secure payment processing. Additionally SC.gov will email you a receipt of payment.

Contact

CC Registration

Identifying Information

Address and Phone

Payments and Discounts