EmailMe Form - POS Registration

INDIVIDUAL AND GROUP REGISTRATION

Please use this form to register for the Professional Orientation School for New Forensic Scientists. You may register yourself, a single participant, or a group of participants.

Please note that classes begin on the 1st Monday of each month, with the exception of January and September. Our July school is sometimes delayed a week due to the Independence Day holiday.

Below, you will be asked to indicate which class you wish to attend.

Participant Info: *

I am registering myself only

I am registering myself and others

I am registering others, but not myself

Total number of registrants: *

If you are using this form to register multiple participants OR a participant other than yourself, please provide the names and email addresses of ALL participant(s) you are registering, including yourself:

Select the desired class, beginning on: *

Our class is NOT held in January, July, or September due to national Holidays

Your Name:

First Last

Title or Position: *

Email: *

Confirm Email:

Primary Contact Phone: *

### - ### - ####

Alternate Phone:

### - ### - ####

Laboratory/Agency Name: *

Laboratory Mailing Address: *

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

Registration Option: *

EARLY registrations require receipt of payment prior to the start date of your program. LATE registrations are accepted within 30 days after the start date.

Specific payment instructions will be provided to you by email when you submit this form.

Subscription Code (if applicable)

Subscription codes are for laboratories wishing to purchase seats for multiple participants over the course of one year. If you are deducting this registration from an existing subscription, please enter the code that was provided to your laboratory.

Amount Due:

$ Dollars . Cents

Early-Payment Registration is $495 per person. Late-Payment Registration is $550 per person.

Please enter the total amount due for this registration.