NCIT Registration Form

To reserve a place at the training, fill out and submit the following registration form. CLEAR now accepts payment online. Click the Buy Now logo at the bottom of this to pay for your registration. CLEAR also accepts checks payable to:

CLEAR (Fed. ID No. 61-1267676)
403 Marquis Avenue
Suite 200
Lexington, KY 40502
(859) 269-1601

Please select the NCIT program for which you are registering (click on the arrow to produce a list of current offerings):
 Items marked * are mandatory

Basic NCIT programs:*
The cost to attend a Basic Program is (US)$375 per attendee.

Specialized NCIT programs:*
The cost to attend a Specialized Program is (US)$450 per attendee.

Specialized attendees - please indicate below the date and location of the NCIT Basic Program that you attended:

Name:*  

Title:*  

Agency:*  

Address (include city, state and zip):*
  

Phone:*  

Fax:*  

E-mail:*  

 How did you hear about the CLEAR NCIT Programs?

Additional Comments:

Payment:*
 

Cancellation policy: Registrant substitutions are welcomed. Cancellations must be received in writing 7 calendar days prior to first day of training, to avoid a $50.00 service charge. Cancellations received after training begins are subject to the full registration fee.

Please inform me via fax or e-mail of future CLEAR programs and events.