TMR TOTS - Enrollment Form
Please use this form ONLY When You Have Purchased TOTS COURSES (TOTS-1, TOTS-2, TOTS-3) (Also please note - TMR & TOTS are different company and different courses)
Full Name with credentials
Email (please try to use the email registered with us)
Cell # (Please give the correct one so that we can help you during the course)
Which TOTS Package Purchased? (TOTS-1, TOTS-2, TOTS-3, All 3 TOTS Seminar Package)
Date when purchased ?
Seminar Level You Want To Enroll: (TOTS-1/TOTS-2/TOTS-3)
Live-Online Or Homestudy?
For Live-online, please put Seminar Date. For Homestudy, please put start date
April 17-18, 2021
Are you retaking it? Yes/No
Yes - I have Taken it before
No - This is my first time with the course
Professional Lic # and State
Should be Empty: