Cyber Security Awareness for Business

Registration - if you need to enroll more than 10 people please contact us at custom.fit@otech.edu

Number of Seats

Name

Email Address

Employer

Phone Number

Date of Birth

Custom Fit Reimbursement

Check for Custom Fit Reimbursement eligibility

The cost is $99.00 per person

Amount Due and Payment Type

Total Due

Method of Payment-

Credit Card

Payee Information

Course to enroll in:

February 11, 2025

Please select one option

Self-payment - individuals paying for themselvesEmployer payment - employer sponsoring employees trainingOwner/Operator payment - owns a business and is paying through the business

Payee First Name

Payee Last Name

Payee Phone Number

Payee Email Address

Billing Address

Billing City

Billing State

Billing Zip Code

enter the five digit zip code of your billing address

Credit Card

Type of Credit Card

Credit Card Number

Expiration Month

Year

CVV

Agreement Acceptance and Acknowledgement

I certify that the information on this registration form is accurate to the best of my knowledge. By submitting this registration form I am claiming responsibility to pay for my training and agree to follow through with payment to the Ogden-Weber Technical College. Furthermore, I understand that refunds shall be considered for cancellations made a minimum of three business days before the class date.

Thank you for your interest in this training. If you have questions, please email us at custom.fit@otech.edu.

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