BIS CompTIA Registration

		Business & Industry Services 1100 E. Warrenville Road Naperville, Illinois 60563 (630) 505-0500
BIS Registration
If you would like to register for a class, just fill out the form and click Submit!

PERSONAL INFORMATION

First Name		Middle
Last Name		SSN	Last 4 digits only:
Company		Title
Address	Work Home
Street
City		State	Zip
Work Phone		FAX
Home Phone		E-Mail
Bill To (Name):

COURSE INFORMATION
Select the program in which you would like to enroll. Scroll down for more options if necessary.
(To select more than one class, hold down the Ctrl key and click on each class that you want.)

GRANT OR DISCOUNT STATUS
Choose one of the following options to tell us about your grant or discount status.
(See more information regarding grant funding.)

PAYMENT INFORMATION
Choose one of the following options to tell us about your requested method of invoicing..

Choose one of the following options to tell us about your requested method of payment.

Note: If you are using a Company PO number, it must be supplied before the first date of class.
Company PO Number (if applicable):

Payment is required by course or workshop start date. Payment can be made by either check, credit card, or promised with a Company PO Number. If paying by credit card, please call with your credit card information.

Comments

How did you hear about this program?
(Please check all that apply. Your response is greatly appreciated.)

I was given a personal recommendation.
I received a brochure or flyer.
I saw a printed advertisement (newspaper, magazine, etc.)
I've had prior experience with BIS.
I found it through an Internet search.

COURSE FEES
Please see course description for course fees.

CANCELLATION POLICY
BIS must be notified of all cancellation requests 5 days prior to the workshop or course start date in writing. No refunds will be given for participants who cancel after the workshop start date. Participants who cancel after the workshop start date or do not attend the workshop will be responsible for full payment of the registration fees. This includes any approved grant amount not covered. We reserve the right to cancel workshops if enrollment criteria are not met.

Special Physical Accommodations:
If you require any special physical accommodations to attend these courses, please contact BIS at bis@uiuc.edu.

For more information regarding training programs, please contact BIS Information at bis@uiuc.edu.