Register and Pay via Credit Card

* First Name:
  Middle Name:
* Last Name:
* Date Of Birth:
    MM-DD-YYYY
* Address 1:
  Address 2:
* City:
  State:
* Zip Code:
* Phone No:  999-999-9999
* Email:
* Username
* Password:
* Confirm Password
* California Driver License:
 
Billing Information
 
  Course Fee: 
 $29.95
 Groupon Code:
  In order to receive a Coupon Code discount please enter coupon code and click on 'Redeem My Coupon and please do not make additional payment if you use the Coupon'
* Credit Card Type
* Credit Card Number: cc
* Card Expiration Date:
* Card Security Code: cvv
 Billing address is the same as the mailing address.
* First Name:
* Last Name:
* Address 1:
 Address 2:
* City:
  State:
* Zip Code:
* Phone No:
* Email:
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Privacy Statement - We collect no personal information about you unless you choose to provide that information to us. We do not give, share, sell, or transfer any personal information to a third party.
Refund Policy - All sales are final.
Security Policy - Certain sections of our website are designed to collect and transmit information securely. This includes any pages where credit card information is entered. On those pages, encryption approved by TrustCommerce and is used to protect your financial information.