Isles CEET Class Registration Payment Form

Class

Date of Class

Cost per Attendee

Number of Attendees

Total Cost

Is this registration being paid for by an Organization?

Organization Information

Organization Name

Phone

Type of Organization

Organization Mailing Address

City

State

ZIP Code

Payer

How did you hear about Isles?

When entering your name in this form, enter your full first and last name as they appear on your credit card. No nicknames or other names.

First Name

Middle Name or Initial

Last name

Contact Information

Street Address (including Apt. #)

City

State

ZIP Code

Preferred Phone Number

Mobile Phone Number

Home Phone Number

Work Phone Number

Preferred Email

Email address

This must be an individual's unique email address, not a shared email address.

Work Email Address

Applicant Certification

By submitting this application to Isles, I certify that all information in this application is true and correct to the best of my knowledge. I understand that false or misleading information may be grounds for for rejection of my application for this service. I understand the at completion of this program I am not guaranteed to be able to pass the relevant certification examination.

Please be aware: If you are registering for Building Performance Institute related training you will be required to provide Isles with your social security number on the first day of class. Thank you.

Contact Information