2022 ROC-M Radio Course Registration

Course Registration

ROCM with DSC Endorsement. This is a 3-session course.
Please confirm your online ROC-M course date *

July 11, 12, 13th, 7pm to 9pm EST/EDT (Toronto time)
Student #1 *

First Name Last Name
Email *
example@example.com
Birth Date *

Month Day Year
Date
Mailing address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *
Choose an ROC-M Study Guide format *

Printed Guide (minimum 10 business days required for mailing) e-Publication (Link will be emailed within 10 business days)
Student #2 (if applicable)

First Name Last Name
Student #2 Email (required if applicable)
example@example.com
Student #2 Birth date (required if applicable)

Month Day Year
Date
Student #2 Mailing address (leave blank if same as student #1)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student #2 Phone number (required if applicable)
Choose an ROC-M Study Guide format (one per student)

Printed Guide (minimum 7 business days required for mailing) e-Pub Guide (must have second monitor or device to view this during online course
Student #3 (if applicable)

First Name Last Name
Student #3 Email address (required if applicable)
example@example.com
Student #3 Phone Number (required if applicable)
Student #4 (if applicable)

First Name Last Name
Student #4 Email - required if applicable)
example@example.com
Student #4 Phone Number (required if applicable)
We'd love to know how you heard about us! *

Web word search Word of mouth BOATSmart! Canada Boat Show Insurance Company Boating Ontario (website or Directory) Other
Registration - click left box for Study Guide type, then select number of students *
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ROC-M Radio Course with e-Publication (electronic guide)
$ 175.00 CAD Number of students
Item subtotal: $ 0.00 CAD

ROC-M Radio Course with PRINTED Guide
$ 185.00 CAD Number of students
Item subtotal: $ 0.00 CAD

Subtotal

$ 0.00 CAD

Tax

$ 0.00 CAD

Total

$ 0.00 CAD
Should be Empty: