Online Registration Form

Please see our Cancellation Policy for any questions you may have in this regard.

* = Required
STUDENT INFORMATION
Student Name
Organization
Department
Address
City/Town
State/Province
Zip/Postal Code
Country
Phone
Email
Emergency Contact Person
Emergency Contact Phone Number

CLASS INFORMATION

BE SURE TO SPECIFY IF YOU WANT TO TAKE THE CLASS IN PERSON OR REMOTELY, IN THE "LOCATION" OPTION

Self-Directed classes must start on a MONDAY and be registered 1 week prior to when you want to start the class.
Classes run Monday - Friday (you have 5 days to complete the class.

Class1
Start Date:
Location
Class2
Start Date
Location
Class3
Start Date
Location
Class4
Start Date
Location
Coupon Code - Discount will be applied to invoice.

PAYMENT INFORMATION
Payment Method
2  - Credit card payments are subject to a 3% processing fee.
Credit cards payments can be made directly through your invoice.
3   -An invoice will be emailed to you.
4   -A quote will be sent so that you can request a PO.
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Bill To: Same as Student?
Bill To Name
Bill to Phone
Bill To Email
ADDITIONAL INFORMATION
Your Industry:
How did you hear about us?
General Comments:
Enter the code shown above:
SUBMIT
 


  

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Date » 02 December, 2024    Copyright 2002-2016 Inner Corridor Technologies Login :
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