IAC Training: Student Class Registration

Student Class Registration

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Billing Information:

Required fields bordered in red.

Credit Card Number: Expires:

CCV Code:

Print out this form, submit, and then mail registration fee by check to:

IAC Training, Inc.
18321 S. Western Avenue, Suite F
Gardena, CA 90248

Telephone: (310) 630-0174
FAX: (310) 630-0170
Toll Free: (877) 877-2419

Checks must be received at least five days prior to scheduled class date.

First Name: Last Name:

Company:

TSA IAC Certification Number:

Email:

Phone:

Fax:

Address:

Address (cont):

City:

Zip / Postal Code:

Comments
(If you are registering more than one student, please include their names here)

Please do not press the Submit button more than once, as it could result in repeat charges to your credit card.

All paid classes may be rescheduled at the student's convenience.

Tuition is non-refundable but may be applied in advance to another student or class upon payment of a $50.00 change fee.

Change fee of $100.00 for registration changes made as a result of a no-show to class.

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