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Training Registration -Form Fill

Section One
Q1

Name

First Name

Q2

Name

Last Name

Q3

Phone Number

Phone Number

Q4

Email

Q5

Address

Street Address

Q6

Address

Street Address Line 2

Q7

Address

City

Q8

Address

State / Province

Q9

Address

Postal / Zip Code

Q10

Occupation

Q11

Company Name

Q12

Job Position Title

Q13

Please rate your current virtual assistant (VA) knowledge

Q14

I'd like to learn about

Q15

How did you learn about this virtual training program?

Q16

Select a training period (2020):

Q17

Virtual Training Payment Fee

Training Fee$300.00

Q18

Payment Method

Q19

Any additional comments or information you would like to share?