Registration Form

Thank you for visiting our website. Please fill out the following form to REGISTER for a course or to REQUEST information about our courses and services. You may also fill out the form to provide feedback about our site. When you are finished, click the 'Submit' button to send us your message. You will see a confirmation below.

Important! There is a $50.00 student retainer fee that is NON REFUNDABLE if student fails to attend course. ALL COURSE FEES are to be paid prior to course starting date.

Your name: (Required)


Organization name:


Town / City:


State / Province:


Email address: (Required)

Street address:


Postal / Zip code:


Country:


Work phone number: (Required)


Fax number: (Required)

HOW WILL PAYMENT FOR COURSE BE MADE?

Message: