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 » 10 October, 2024    Copyright 2002-2016 Inner Corridor Technologies Login :
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