Instructor Development Course Registration -2025

Instructor Development Course Registration -2025

Attendee Name*

First NameLast Name
Attendee #2 Name*

First NameLast Name
Attendee #3 Name*

First NameLast Name
Personal / Agency Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Daytime Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
POST #*
TYPE N/A IF YOU DO NOT HAVE ONE. DO NOT LEAVE BLANK.
Your Agency Name
Training Location*
Training Date*
Invoice My Agency
Agency Name
Name of person to be invoiced.

First NameLast Name
Email
example@example.com
My Products (use one of the top 2 selections if paying with card. Use one of the "Invoice me" selections if you want invoiced)*
prevnext( X )
Contracted Agency
For agencies that contract with MSA for CLEE training.

$250.00 Quantity



Non-Contracted Agency
For agencies that are NOT contracted with MSA for CLEE training.

$500.00 Quantity



Invoice Me - Contracted
Select the number you want invoiced at $250

$ Free Quantity



Invoice Me - Non-Contracted
Select the number you want invoiced at $500

$ Free Quantity



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty: