Students Information: Please list name, email address, and cell phone number for each participant
Your answer
Students Supervision Information: Please list name, email address and phone phone number(s) *
Your answer
Physical mailing address to receive course materials and attention to whom? *
Your answer
Accounts Payable Address *
Your answer
Accounts Payable Phone Number *
Your answer
Payment Security Information: Pre-payment or purchase order is required. *
If paying by purchase order please make it payable to information in image and list purchase order # below. If paying by credit card just simply state N/A *
Your answer
I understand that I may substitute participants before course begins, but cancellations will not receive a refund. *
Any additional comments
Your answer
Thank you for choosing AR Training Solutions and will be in contact with you within the next 48 business hours to begin implementing your training requests. For immediate assistance please call 620.290.6780 or email us at R717Training@gmail.com
Your answer
A copy of your responses will be emailed to the address you provided.