CPE Program Registration – CPE Certified Port Executive™ Program

CPE Program Registration Form:

Participant Information

Name (required) *

Position/Job Title (required) *

Company/Organization (required) *

Address (required) *

City (required) *

State or Province (required) *

Country (required) *

Zip or Postal Code (required) *

Business Phone (required) *

Office or Mobile Phone (required) *

Email (required) *

Website

Preferred Class Date *

Date Registration Submitted (Todays Date) *

Payment Details - We also except: Check, Purchase order is required Direct Deposit EFT (Electronic Funds Transfer) Payment

Please note the form below "does not" validate credit card numbers, please type in the fields correctly or contact us to make payment arrangements. If you want to use another payment method contact us at registration@macdonnell.com or call us 1-866-219-6563

Registration Amount

Select Your Card Type

Card Number

CVV (3 Digit Number)

Expiry Date

Card Holder Name

First

Last

Card Holder Zip or Postal Code

Card Billing Address

Comments

How did you hear about us? (required) *

Please select an option from the drop down menu

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CARD OWNER AGREES TO PAY TOTAL IN ACCORDANCE WITH AGREEMENT GOVERNING USE OF SUCH CARD | INTERNATIONAL TRANSACTIONS MAY BE SUBJECT TO AN ADDITIONAL CURRENCY CONVERSION FEE | CHARGE BACKS AND DECLINED TRANSACTIONS MAY BE SUBJECT TO AN ADDITIONAL HANDLING FEE | MACDONNELL RESERVES THE RIGHT TO RE-SCHEDULE COURSES, CANCELLATIONS WILL BE CARRIED FORWARD TO THE NEXT AVAILABLE COURSE IN THE REGION, NO REFUNDS.

Name

Five Continuous Days, Live in ZOOM Instructor Led Online Classes

2024 Schedule

February 26th - March 1st Online10:00 AM - 5:00 PM EST

April 8th - 12th Online10:00 AM - 5:00 PM EST

May 13th - 17th Online10:00 AM - 5:00 PM EST

June 24th - 28th Online10:00 AM - 5:00 PM EST

July 15th - 19th Online10:00 AM - 5:00 PM EST

September 9th - 13th Online10:00 AM - 5:00 PM EST

October 21st - 25th Online10:00 AM - 5:00 PM EST

November 18th - 22nd Online10:00 AM - 5:00 PM EST

December 16th - 20th Online10:00 AM - 5:00 PM EST

Class schedules may be adjusted to take in to account the COVID 19 impacts. If you have any questions please do not hesitate to contact us.

Find Us at

Address: 1701 Hollis St. Suite 800 Halifax N.S. B3J 3M8 – Canada

Phone: 866.219.6563

Mail: registration@macdonnell.com

Corporate Website: certifiedportexecutive.com