Class Registration « Associated Employers

Company*

Are you an AE Member?*

Yes
No

Address*

Street Address City State ZIP Code

Phone*

Purchase Order # (If required)

Class Name*

Class Date

Registration Choice

Single Registration - $25/per person
Table of 8 - $175/table

Webinar Information

If all participants will be viewing this webinar from the same location, only 1 participant name needs to be provided. If this will be viewed from multiple locations, or more than 1 person wants to receive CEUs, please provide an email and participant name for each additional location/CEU applicant.

Participant Name*

Email*

Are you registering another participant?*

Yes
No

2nd Participant Name

2nd Participant Email

Are you registering a 3rd participant?

Yes
No

3rd Participant Name

3rd Participant Email

*NOTE: If registering more than 3 participants, please contact our office directly at 406-248-6178.

Additional Participants

Additional Webinar Participants (Alternate Location)

Must include email address

Live Webinar Purchase

Price: $155.00

2nd Participant

Price: $10.00

3rd Participant

Price: $10.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total

$0.00

Comments

Cancellation Policy:

If you must cancel, please do so at least 2 business days prior to the start of training. Any cancellations received with less than 2 business days’ notice, will be billed as follows: $30 for our Reasonable Suspicion class, $50 for any half-day class, $75 for any full-day class or $100 for the Management Excellence Series. Please call our office at 406.248.6178 or email reg@aehr.org to cancel. Substitutions are welcomed with prior notice.

Phone

This field is for validation purposes and should be left unchanged.