Complete the form below to submit your registration request for a training course. An MAEA staff member will contact you to complete the registration process. Thank you!

Name

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

Course information

Name of Course(Required)

Date(s) of Course(Required)

Registrant information

Enter at least one registrant name and email. You may add a maximum of 4 registrants using this form.

Name of Registrant 1(Required)

Email of Registrant 1 (optional)

Name of Registrant 2 (required)

Email of Registrant 2 (optional)

Name of Registrant 3 (required)

Email of Registrant 3 (optional)

Name of Registrant 4 (required)

Email of Registrant 4 (optional)

Company Information

Company Name(Required)

Company Phone(Required)

Company Email(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Contact(Required)

Billing Instructions(Required)

Explain how you would like us to bill your company for this course (e.g. mail invoice, email invoice, pay via credit card over phone, etc.)

Authorized Signature(Required)

Cancellation Policy

The cancellation deadline is seven business days prior to the course. Cancellations made after this deadline will be charged the full price. Substitutions may be made at any time prior to start of the class at no charge. No shows will be billed the full price.