EKHO Course Registration

To register for a course fill out the following form.

Note: * denotes a mandatory field.
           # We will contact you by phone for confirmation.
            You must supply either a home or office E-Mail address
            You must supply either a home or office phone number.



Personal Information (mandatory)
Salutation *
First Name *
Last Name *
Address *
 
City *
Province/State *
Country *
Zip/Postal Code *
Telephone. number *
Fax number
Home E-mail *
Work E-Mail *
Job Title


Employer Information (desirable)
Name
Address  
 
City
Province/State
Country
Zip/Postal Code
Telephone Number
Fax Number


Payment Method
Who is paying?* Employer
Self
Other 
Method Of Payment: *  #


Course Information
Register for course *
How many people require this training?*
Where should we the invoice? *
If other,  please specify where to send: 
Comments:

Note: * denotes a mandatory field.
            # We will contact you by phone for confirmation.



I certify that I have met the prerequisites as listed in each course outline.

Student registration requests will be confirmed upon receipt of payment or purchase order.

Cancellation or Rescheduling Policy: In order to avoid a cancellation fee you must cancel or reschedule at least 5 (five) working days prior to class. Cancellations and class rescheduling within this period are charged 50% of the retail price of the class. All cancellations and class rescheduling must be in writing or 100% cancellation fee will apply.

Students who do not cancel IN WRITING and are unable to attend class are charged the full class fee!

You will receive an e-mail or phone call within 24 hours of receipt of this form. Your account representative will take your payment information and provide you with any additional information you may need.

I have read and understand the above policy and agree to its terms