2.0 CEC credit

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

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Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Password

Confirm Password

Provide a password for the new account in both fields.

Your Registration Info

First Name *

Last Name *

Email Address *

Street Address *

City *

State *

Postal Code *

Phone *

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Terms and Conditions: *

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If you have a discount code, enter it here

Course Fee(s) *

CEC 2.0 - $ 595.00

Total Fee(s)

Credit Card Information

Card Type

Card Number *

Security Code

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *