Prisma International Corporation - Course Registration Form
Please fill out this form to the best of your ability. Should you have any questions, feel free to get in touch by sending us an email at contact@prisma-international-corporation.com

The price for our online BTG course is $780. You can pay digitally through our paypal link (https://www.paypal.me/prismainc/780) or through check and money order.
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Full Legal Name *
Phone Number *
Email *
Mailing Address (Line 1) *
Mailing Address (Line 2)
City *
State *
Zipcode *
Join Mailing List? *
LinkedIn Profile
Company/Sponsor (If Applicable)
Emergency Contact Phone Number *
Emergency Contact Name *
State where you'd like to take the course *
Country where you'd like to take the class
Which course are you registering for? *
Which month and session are you registering for? *
For BTG students, are you registering for weekday or weekend sessions? If not applicable, please select "N/A." *
For language instruction/immersion students, please fill in which language you need instruction in. If not applicable, please fill in "N/A." *
Do you have any life-threatening allergies we should be aware of for onsite classes? If not, please write N/A. *
How did you hear about us?
Textbook or Glossary Language-Combination Request: *
Reason for taking this course?
Are you willing to authorize a photo release to Prisma International Corporation? *
What would you like to do with your coaching sessions after the class? (Only for BTG and PMI/TMI Students) *
Enter your coupon-code here:
PLEASE READ CAREFULLY and CHECK EACH BOX ON THE REGISTRATION FORM TO ACKNOWLEDGE: *
Required
Have you read the disclaimer and terms of service and agree to them, in order to enroll in our class? By submitting your application you acknowledge that you understand the terms and conditions for your registration and have printed a copy of the disclaimer provided at the time of enrollment. *
Do you have any questions or concerns you'd like to share with us?
After submitting this form, the confirmation message will display links for payment. If you have any questions regarding payment, please contact us at contact@prisma-international-corporation.com
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