Choose:
First Name:
 
Last Name:
         
Wk. Address:
City:
State:
Zip:
Work Phone:
Bldg.#
Fax:
Wk. Email:
 
DOB:
 
P.O.#:
 
Home Address
City
State
Zip
Home Phone
 
       
Choose:
Manager Name
Supervisor Address
Manager Phone
Manager Title
Manager Alias
     
Local Emp
Natl Emp
Employee Title
Class#
 
Sales Rep:
Amount Due
1500
Company/Industry
Class Start Date

What Benefit Do You Hope To Gain From This Course?    
How Were You Referred To The Course?
Division:
 
Our refund/transfer policy extends as follows:
Student may cancel the contract seven (7) business days prior to the commencement of the program at no penalty by notifying the school in writing before the course begins.  Any monies paid to the school in excess of the sum due the school by the student who cancels, withdraws or is discontinued will be refunded with thirty (30) days. Students may transfer into another class or register a substitute one (1) time without penalty. Each subsequent request to transfer will incur a fee of $100.00, which must be paid in full at the time of transfer. Students who successfully meet the completion requirements of their course and are not satisfied with the program may re-enroll in the same program at no charge for up to one year.