Center for Financial Training | Atlantic and Central States: Seminar Registration Form

Seminar Registration Form

Click Here to Download a Seminar Registration Form

Student Information

(Required fields are indicated in RED.)

First Name:

Last Name:

Last 4 digits of SS number:

Employer Name:

Title:

Employer Mailing/Street Address:

Employer City/State/Zip:

Work Phone #:

Home Phone:

E-Mail Address:

Home Mailing/Street Address:

Home City/State/Zip:

Payment Method :

Please Bill My Employer (authorization and payment arrangements with your employer will be verified prior to your registration into this program)

Authorized by:
Phone #

Bill Credit Card (CFT Personnel will contact you for credit card information prior to processing registration):

Yes or No

Seminar Selection

Seminar Title:
Seminar Location:

Withdrawal Policy

Withdrawals made prior to the registration deadline will receive a full refund or a credit toward a future Center for Financial Training of Southern New England (CFT) seminar. Withdrawals made after the registration deadline will not receive a refund or a credit. Substitutions may be made at any time.

Student Disclosure

I hereby agree that I have read the withdrawal policy and academic integrity statement contained on this web site, and fully understand their meaning. I authorize CFT to release my grades to the appropriate representative at my financial institution. I understand that if I fail to meet the tuition reimbursement requirements of my financial institution, I will be held personally responsible for tuition and fees to my financial institution and/or CFT, as well as any fees associated with the collection of these balances.

I confirm that I understand the student disclosures and authorize CFT to release information about this course to my employer.

If you need help, please contact us. If you are experiencing technical difficulties, you may also contact our web team.