Purchase Order/Check Payment Registration:
This registration form is for payment with a purchase order or check. When selecting the Submit button, your registration will be electronically filed with Leotta, LLC. Once registration is received, you will be sent an invoice via email which is due immediately upon receipt. If you wish to pay via PayPal or credit card, please close this window and select "Credit Card Registration" button on the course description page.
IF YOU WISH TO PRINT A COPY OF THIS FORM FOR YOUR OWN RECORDS, PLEASE SELECT "PRINT FORM" PRIOR TO SUBMITTING YOUR REGISTRATION.