Class Registration

Section A. Student Information

* Required Item. If not applicable type: "N/A"

    *1. Select number of Students you are enrolling (up to 5):
      a. Student One
        *1a. Name:  
        *1b. Email: (e.g.: name@aol.com)  
        *1c. Company/Agency Name:
        *1d. Address (Home or Office):  
        *1e. City:  
        *1f. State:  
        *1g. Zip:  
        *1h. Phone #: (include AC)  

Section B. Class Information
    *2. Choose class: DO NOT SKIP! (Select Class Date from Drop Down List)
           (Classes held at 24664 Redlands Blvd, Loma Linda, CA 92354 unless otherwise noted.)

    *3. Type Verification Code Shown:      Verification code, please enter it <<< Verification Code

    4. Payment required to reserve seat. Your registration is not complete until payment has been received. You can pay by Credit Card on the next page. To pay by a method other than a credit card, complete your registration and then call (800) 648-5323.

    5. When you are ready to proceed, hit REGISTER once. Thanks!

         

         
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