CAM Class Registration Form
Fill out the form carefully for registration
Student's Legal Name
First Name
Middle Name
Last Name
NAA NUMBER
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
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30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
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1981
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1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Work Number
Property Name
Will you need a payment plan?
YES - It is $100 added to the current class rate of $1,150. The total amount invoiced will be $1,250 and must be paid in full before the student tests in person for the certification.
NO - Please invoice me the full amount of $1,150. I understand it must be paid in full by the class start date to attend.
N/A - I am a non-member and do not qualify for a payment plan. I understand the full amount of $1,250 is due within 48 hours of registering of for this class.
Submit
Should be Empty: