PSTC Class Registration

Which class are you interested in attending? *
When will this class be held? *

MM
/
DD
/
YYYY
How many students are you registering? (We don't need the names as yet...just how many will be attending) *
Agency Name: *
Contact Name: *
Street Address *
City *
State *
Zip Code *
Phone Number *

###
-
###
-
####
Fax Number

###
-
###
-
####
Email
I'd like to host a class! Send me information!
 Check here 
Additional Comments:
You will be receiving an invoice and confirmation letter shortly. We send them via e-mail or fax and we also mail you one. We DO NOT need student names at this time. We know that schedules change and illnesses occur that will change who you send.

Feel free to e-mail us or call us if you have any questions. We are open 0800-1630 CA time M-F. 650-591-7911. Our cancellation policy is on our web site and on the confirmation letter. Thanks for the reservation.

BEFORE pressing "SUBMIT" please keep a copy of your request for your records.

PSTC (650) 591-7911
(Form updated 02/14/16)