CAM Class Registration Form

CAM Class Registration Form

Fill out the form carefully for registration
Student's Legal Name

First NameMiddle NameLast Name
NAA NUMBER
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / 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.
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