Printed instructional and educational materials, namely, course books, workbooks, worksheets, flash cards, diagrams, and study guides provided with courses of instruction in the fields of medical transcription, medical transcription editing, outpatient and inpatient medical coding and billing, and medical terminology

[Education services, namely, providing online classes and study courses in the fields of medical transcription, medical transcription editing, outpatient and inpatient medical coding and billing, and medical terminology, and distribution of course materials in connection therewith]