a
SSL (Secure Socket Layer)
Please fill out the registration form below and then select the class(es) that you would like to register for by "checking" the box in front of it. Include the number of operators that will be attending. For your security, our web server uses a 128 bit encryption system.

Please fill out the following fields
NOTE:
You can also register through regular mail.
To do so please click on link below, print the registration page and mail it in.
Address:
HSS International, Inc.
PO Box 50 # 337
Lake Arrowhead, California 92352
Click to download registration form (PDF File) If you can't read it, go to Acrobat.com to download reader.

Section 1 : Basic Information
Your Name:
Your Organization:
E-mail:

Address:
Street
City State Zip Code
Phone Number: (Including country code if you are not in US.)
Cell Phone Number:


Section 2 : Payment
(1) Credit Card
Credit Card Type:
Credit Card Holder's Name:
Credit Card Number:
Exp. Date: (eg. 08/09)
3 Digit Code on the back of credit card:
Billing Address Zipcode:

(2) If you are not paying via credit card, please indicate how you will be handling the tuition and check the following box:

(Please invoice the department and who is the purchasing point of contact - name and phone number)




Section 3 : Courses & Participants Info
Select courses you would like to participate:
Course Name Number of Participants Preferred Dates (eg. 05/26-05/30, 2006)

Name of Participants: (First Name Last Name. Use "," to saperate different participants. eg. John Lee, David En, etc...)


After we receive your email, we will contact you in 48 hours.