EMI Class Registration
Fill in the following information and print out on your computer. Then fax this page to EMI
Training at:
907-272-0319
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t: You must submit a phone number that EMI can reach you at in case the class is canceled due to low enrollment. If you wish to cancel your registration and do not notify EMI one business day in advance you will be billed $50 to the type of payment you have chosen. To register using this form you must secure your class with a credit card or a company purchase order number.
Class Registration Information
Class Number
Class Name
Class Date
Personal Information
Company Information
Name
Company Name
Address
Address
City
City
State
State
Zip Code
Zip Code
Home Phone
Daytime Phone
E-mail
Fax
Payment Method
Credit Card #
Exp. Date
Company P.O. #
If you don't have a fax, Please phone us with the information that is listed above. Just let us know how you will pay us and we will contact you for the specifics for our billing process.
Note: EMI Reserves the right to cancel any class when minimum enrollment is not met.
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