E-Learning Registration Form
Name
First Name Last Name
Email
example@example.com
Phone Number
Area Code Phone Number
ID Number
Please select the appropriate time slot
Friday - Saturday (10.00 am - 2.00 pm) Saturday - Sunday (2.30 pm - 6.30 pm) Monday - Wednesday (8.00 am - 12.00 pm)

Please select the appropriate e-learning registration fee

Student E-Learning$20.00

Fee for students not working in a professional position.

Member E-Learning$45.00

Fee for members who are working in a professional position.

Nonmember E-Learning$60.00

Fee for nonmembers.

Group E-Learning$250.00

Fee for group learnings.

Total $0.00

Payment Method

Date
Month Day Year
Date
Signature
Clear
Hyatt-Sawayn Learning - 299 Boone Crockett Lane, Brooklyn, NY, 11209
hyattsawayn.com/learning
Should be Empty:

E-Learning Registration Form