Registration Microassist Training Registration Form Thank you for your interest in our training courses. Please fill out the registration information below. Someone from our training department will be in contact to finish your registration. If you have any questions, please feel free to reach out to our training department at [email protected]. Course InformationCourse:(Required)Date:(Required)other Student Infomation Name:(Required) First Last Organization:Job Title:Email:(Required) Enter Email Confirm Email Phone:Purchaser Information Please fill out the contact information for the purchaser, if different from the student information above. Purchaser and student information is the same.(Required) Yes No Purchaser Name: First Last Purchaser Email: Enter Email Confirm Email Purchaser Phone Number:Questions? Comments? Δ