(L/D)max Aviation Group - Course Registration

Course Registration

Welcome to (L/D)max Aviation Safety Group's course registration. We look forward to you joining us in one of our upcoming classes. Please fill in the fields below to begin the registration process.

If you would prefer to send by fax or mail, please download and print out the completed form and fax to +1 (503) 746-4890 or, mail it to us at:

(L/D)max Aviation Safety Group
Attn: Registration
4804 NW Bethany Blvd.
Suite I2, #178
Portland, OR 97229

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* Indicates Required

Attendee's Identification

Given (First) Name: *
Family (Last) Name: *
Middle Initial:
Organization:
Email: *
Daytime Phone: *
FAX Number:
Address 1: *
Address 2:
City: *
State/Province: *
Postal Code: *
Country: *

Billing Information

Please Note: Only required if different from above.

Contact Full Name:
Organizatition:
Email:
Phone:
Address 1:
Address 2:
City:
State/Province:
Postal Code:
Country:

Course Registration

English Language: (L/D)max Aviation Safety Group conducts its training in English. Because we want to ensure that all attendees receive maximum benefit from the training, we highly recommend an English proficiency equivalent to ICAO Level 4. For those who are unsure English proficiency at this level, (L/D)max Aviation Safety Group has arranged for a complimentary on-line personal English proficiency evaluation from ClimbLevel4. (L/D)max does not "require" demonstrated English proficiency. The evaluation is offered so that attendees may judge for themselves their ability to understand the highly technical and in-depth training. Your registration will be accepted even if you decline the evaluation or do not have Level 4 proficiency.

Please select from the following: * English is my native language. I have been evaluated as having ICAO English proficiency at or above Level 4. I would like to receive a complimentary English language evaluation as part of my registration. I would like decline the English language evaluation as part of my registration.
Course 1 *
Course 2
Course 3
Course 4
Course 5

Payment

(L/D)max Aviation Safety Group courses require a Purchase Order or a minimum 20% payment of the total tuition fee due at the time of registration. This secures your placement in the course. The remaining balance is due on the first day of the class in which you are attending and must be paid in full within 30 days of course commencement. Please select youR method of payment and your payment amount below:

Payment Options * Check Bill Credit Card Company Purchase Order Wire Transfer Other
If other, please specify

Provide no payment information on this form. The Billing agent listed above will be contacted by (L/D)max Aviation Safety Group within 5 working days following receipt of this form to arrange payment.