Class Registration

Registrants do not have to have their own PayPal account to make a credit card payment. Once you select the 'Submit' button below you will proceed with the payment process. A notification from our office will be sent to you within two business days to confirm your registration and seating in a training session. Please provide all registrants email addresses and phone numbers. Attendee's Email and attendee's Phone is required to keep attendees informed of any last minute changes to the classes such as cancellations or weather related delays during non-business hours.

Company Address

City

State

Zip

Company Phone 706-555-1212

Fluoridation Training - Free Class - 4 CE Points for Water

June 17, 2024 - 8:30am - 12:30pm

$0.00/person

All Zoom classes are live. To receive a certificate, attendees must be visible on camera during the entire class.
A link to join the class will be emailed to you., ,

Class Size: 75 (50 Remaining)

First Name

Last Name

Cell Phone

Confirm Email

Attendee's Email and attendee's Phone is required to keep attendees informed of any last minute changes to the classes such as cancellations or weather related delays during non-business hours.

Credit Card/Paypal Pay Later with Check Pay Later with Credit Card

Total: $0.00

NOTES:

Once you have clicked on the 'Submit Form' button you will be taken to a web page which will introduce you to our secure payment process through PayPal.com. For other payment arrangements, check the "Pay Later" box. Registrations will be confirmed once payment is received.

It is important that we have the email address of the people attending so that we may communicate directly on course details, if the need arises.