Member Class Registration

NHMTA members can use this form to register students for classes when they wish to have an invoice sent to them instead of paying online.

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

Member Company Name*

Company Contact*

First Last

Company Contact Email*

Please double check your email address.

Contact Phone*

Address*

Street Address City State ZIP Code

Number of Students (Member)*

Please enter a number from 1 to 12.

What class will you be enrolling in? (Member)*

Total

List Attendees by Name*

Select the + symbol to the right to add more attendees. The number of attendees should equal the number of students indicated above.

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