Register for the 2008 CE Certification Seminar

Applications will only be considered if all the form is completed and the information provided is valid.

The fields in bold are required, the fields in gray are not required.

Personal Information


First Name  Last Name 
Company      
Address  City 
State/Province  Postal Code 
Country     
Phone Number  Fax Number 
E-Mail      

Pricing

Early-Bird Fees (on or before February 8, 2008): $850
Regular Fees (after February 8, 2008): $900

Payment Information

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Pay by Credit Card
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  Expiration Date:   

I understand that my credit card will NOT be charged until all my information is confirmed.