Live Training Group Flight Registration

Have you completed registration for the live training?*

YesNo

-- IMPORTANT --

! THIS FORM IS NOT YOUR TRAINING REGISTRATION !

If you have not yet registered for the training, click on the link on thank you page after you submit this form to complete your live training registration.

Flight Details: ATL - LAX round trip on American Airlines
Departing 26 Jun (Fri) leaving ATL at 4:56pm, arriving LAX at 6:44pm (AA2221)
Returning 06 Jul (Mon) Leaving LAX at 9:45am, arriving ATL at 5:15pm (AA753)

Cost: $540.

Notes:
Free carry on and personal item included.
You will get a free assigned seat together with the group.
Optional baggage fee $50 (1st bag) if needed.

You may cancel before 26 May with a $50 penalty (get a refund of $490).

Full Legal Name exactly as ID (suffix not required)*

First NameMiddle NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth*

Date

Gender*

MaleFemale

KTN Number (if applicable)

Redress Number (if applicable)

Discount code if applicable

Discount Amount

Flight Cost*

You do not have payment due. Click submit to complete your flight registration.

Payment Amount

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

-- IMPORTANT --

! THIS FORM IS NOT YOUR TRAINING REGISTRATION !

If you have not yet registered for the training, click on the link on thank you page after you submit this form to complete your live training registration.