on-site class registration form

Please do not use this form for web class registrations.

Please fill in all applicable areas. Call/email if you have questions. Payment can be made with credit card (fill out all card info below), check, purchase order, invoice, or other arrangements. Please note information other than credit card in the comment section.

Press Tab to move through form. Enter key submits form.

kesslergis.site.aplus.net

Bruce Kessler, MS, GISP, CTT+

Kessler GIS

“Thank you for your patience, your cordiality, and your humor. Also, thank you for your enthusiasm for learning. It is appreciated.”

Debra Hooks, USDA Forest Service

20414 W Baker Rd.

Cheney, WA 99004

509-235-5500

First Name
Last Name
Organization
Address
Address 2
City
State/Province
Postal/Zip
Email Address
Phone
FAX
Course Name
Second/Third Course Name(s)
Course Number(s)
Course Price(s)
Name on Credit Card (CC)
CC Holder Phone
CC Holder email
CC Type
CC Billing Address #
CC Billng Zip Code
CC Exp. Date
Deliver CC Number
Do you agree to the terms?
How did you find out about the class?
Other method of finding out about the class
Comments; special needs; etc.
Click to send to Kessler GIS

Terms

Enter "Same" if it's the same as the student info above

Only the street or PO number is needed.

See detailed course listing

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About Kessler GIS