DGLogik - Training Registration form

1. Select your Training Type *This question is required.

2. How many people do you want to register *This question is required. This question requires a valid number format.

Select your Course(s)
Instructor-Led Trainings (ILT) *This question is required.

DGLux⁵ Certification Training - 5 days

Select your Course(s)
E-Trainings *This question is required.

DGLux⁵ eTraining

Please enter the date and location of the DGLux⁵ training you want to register for: *This question is required.

Date
Location

Participant Information *This question is required.

	First Name
	Last Name
	Job Title
	Email
	Business Phone
	Mobile Phone

Participant #2 Information *This question is required.

	First Name
	Last Name
	Job Title
	Email
	Business Phone
	Mobile Phone

Participant #3 Information *This question is required.

	First Name
	Last Name
	Job Title
	Email
	Business Phone
	Mobile Phone

Participant #4 Information *This question is required.

	First Name
	Last Name
	Job Title
	Email
	Business Phone
	Mobile Phone

Participant #5 Information *This question is required.

	First Name
	Last Name
	Job Title
	Email
	Business Phone
	Mobile Phone

Dietary needs, restrictions, allergies

Company Information *This question is required.

	Company Name
	Mailing Address
	City
	State/Province
	Zip Code/Postal Code
	Country
	Contact Name
	Contact Email
	DGLogik Representative

PO Number *This question is required.

3. Comments:

You will be contacted for your payment information on the aforementioned mobile number you submitted.

By submitting this form, you agree that this registration form constitutes an acceptance of the terms of this contract, taking effect immediately. By submitting this form you agree to pay the training fee in full and understand that you may be subject to a cancellation fee as indicated below.

Cancellation < 14 days (2wks) before training start - 20% cancellation fee
Cancellation < 3 days before training start - Up to 100% fee may be applicable

DGLogik reserves the right to cancel a scheduled class without penalty for any reason deemed valid by DGLogik. In the event of a class cancellation, DGLogik will reschedule the training for another date.

Clicking the Submit button acknowledges that you have read and understood this agreement in full. By submitting this form you fully agree to abide by all its terms and conditions.