Course Registration Form

3-DAY Certified Fiber-Optic Technician Program Registration Form
Date: Various dates listed below

Time: 8:30am - 4:30pm

Location: 5800 Ambler Drive, Mississauga, ON L4W 4J4

Price: $1999 + HST = $2258.87 CAD
What Date are you interested in?
Student Name

First NameLast NamePreferred Pronouns
E-mail Address

Confirmation Emailexample@example.com
Mobile Number

Area CodePhone Number
Company
Title
Will your employer be paying or reimbursing you for this course?
Do any of the below apply? (Choose only one, if applicable)
If the course(s) are full, do you want to be added to the wait for future courses?
*Dates will be shared as soon as they become available
Additional Details
An invoice will be issued shortly. We will contact you should we have questions, please ensure your information is accurate before submitting.

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3-DAY Certified Fiber-Optic Technician Program Registration Form