Cabrillo Extension Request for Company Account
Complete this form if you would like to create a Company Account. This will allow your employees to request that your company pay for Extension classes they wish to register in. With your account a representative from your company may approve the requests and chose to pay for classes via credit card or ask that Extension invoice for the charges you have approved.
1. Name of your company or business *
Your answer
2 Department name *
Your answer
3. Complete address for mailing (street, city, state and zip) *
Your answer
4. Name of the person who will manage the account. This allows them to approve student/employee registrations in our classes *
Your answer
5. Email address for the person who will manage the account and approve student/employee registrations in our classes *
Your answer
6. Phone number for the person who will manage the account and approve student/employee registrations in our classes *
Your answer
7. Name of the person who will receive invoices after the charge has been incurred. *
Your answer
8. Email address for the person who will receive invoices *
Your answer
9. Phone number for the person who will receive invoices *
Your answer
10. Will you be using Purchase Orders? *
11. If you answered "Yes" to question #10 and will use PO's please enter below.
Your answer
12. Is there any other important information we need to set up your account? We will use this information to note procedures for accepting registration requests from representatives at your company, including your employees who wish to register, and invoicing you for those registrations.
Your answer
Thank you for providing this information!
We will contact the person noted above who is going to approve registrations to describe how to access your companies' account. Access to your account will allow you to review your company information, approve any registration requests made by your employees, review your student-employees and print their transactions. Please feel free to contact us if you have any questions.
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