Course Registration

Fill out the form below to begin the registration process for class. Your invoice will be e-mailed directly to you shortly after confirming your registration date.

Payment is not required at time of registration. However, payment is due in full prior to the start date of the class.

Fields marked with an * are required.

Course 1 Information

Course: *

Location: *

Start Date:

Example: 12/19/2018 - Please check the schedule for correct start dates.

Course 2 Information

Course:

Location:

Start Date:

Example: 12/19/2018 - Please check the schedule for correct start dates.

Company Information

Company Name: *

Address: *

City: *

State/Province:

Country: *

Zip/Postal Code: *

Phone Number: *

Fax Number:

Corporate PO#

Your Information

First Name: *

Last Name: *

Job Title: *

Phone Number: *

E-mail: *

How did you find us?

Student 1 Information

Click here if you are registering yourself as a student

First Name: *

Last Name: *

Job Title: *

Phone Number: *

Fax Number:

E-mail: *

Click here if this address is the same as the company address

Address: *

City: *

State/Province:

Zip/Postal Code: *

Student 2 Information (if applicable)

First Name:

Last Name:

Job Title:

Phone Number:

Fax Number:

E-mail:

Click here if this address is the same as the company address

Address:

City:

State/Province:

Zip/Postal Code:

Student 3 Information (if applicable)

First Name:

Last Name:

Job Title:

Phone Number:

Fax Number:

E-mail:

Click here if this address is the same as the company address

Address:

City:

State/Province:

Zip/Postal Code:

Student 4 Information (if applicable)

First Name:

Last Name:

Job Title:

Phone Number:

Fax Number:

E-mail:

Click here if this address is the same as the company address

Address:

City:

State/Province:

Zip/Postal Code:

Comments

Payment

Payment is not required at time of registration. However, payment is due in full prior to the start date of the class. Your invoice will be e-mailed directly to you shortly after receipt of your registration.

We accept payment via company check, electronic funds transfer (EFT) or corporate credit card. If you would like to pay via EFT or corporate credit card, please call 978.250.4983 after you receive an e-mail acknowledging your registration. Checks should be mailed to:

Software Skills Training, Inc.
6 Hemlock Drive
Chelmsford, MA 01824

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