CAREFULLY READ AND FILL OUT THIS FORM.  ONCE YOUR COMPLETED REGISTRATION FORM AND/OR PAYMENT HAVE BEEN RECEIVED AND PROCESSED, YOU WILL BE NOTIFIED AND A COURSE DATE WILL BE SCHEDULED FOR YOU.

Enter your credit card information. Select your card type from the list, then enter your card number only, no spaces or dashes, then select your card expiration month and year. The CVV2 value is the 3 digit code of the back of your Visa/Mastercard.

NOTICE OF CANCELLATION POLICY:
To cancel your registration, without incurring a $100 registration, fee you MUST notify FMTND seven (7) days prior to your scheduled start date.