Course Registration Form

Live Online Training Course

Registration Request Form

Instructions: Complete this course registration form request and click “submit” at the bottom of the page.

Once we receive your registration request, we will mail out to you a USPS priority mail envelope containing the registration form. At that time, you will need to complete the registration form and mail it back with payment to the address provided on the form.

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    IMPORTANT: In the event you do not receive your course registration form packet in the mail within 7 business days from the time you submitted this application, please call us at 954-952-5226 and ask for David Powers