USA – Registration Form
Business Continuity Training
Please complete the form and send it by email at [email protected], or by fax at 514-871-1423.
ATTENDEE INFORMATION
Company Name
First Name
Last Name
Title
Mr./Ms.
Company Address
City
Country
State
ZIPcode
Company Phone
Cell Phone
Fax
E-mail
Location and desired training dates:
Please refer to the training schedule published on our website http://www.premiercontinuum.com/
Philadelphia,
Chicago,
New York,
St. Louis,
PA
IL
NY
MO
Baltimore,
Greensboro,
San Francisco,
Denver,
MD
NC
CA
CO
Minneapolis,
Las Vegas,
Dallas,
Atlanta,
MN
NV
TX
GA
Training Dates (MM-DD-YYYY)
[Date]
An invoice will be produced upon reception of this form.
If you are sales tax exempt or a non-resident corporation not registered for sales tax, please
provide
exemption certificates or letter indicating you are not registered (non-resident corporation)
Confidentiality: Premier Continuum Inc. is committed to protecting your privacy. The information collected is strictly used
to provide the requested service. We do not sell, rent or lease your information to third parties, and take every reasonable
step to store personal information securely and help protect your personal information from unauthorized access.
Payment: Premier Continuum may refuse access to the course if payment is not received in full before the course begins.
Cancellation: No refunds or credit will be given for cancellations less than 1 month prior to course beginning. Substitutions
are allowed until 1 week prior to the course. No shows will be charged the full amount. All cancellations must be received
in writing. Note: A class may be cancelled if less than 5 participants are registered 3 weeks prior to the session
date.
I have read and understood the policies above.
I Agree
I Disagree
Last update : February
2017
Page 1
Training:
Please select the desired workshop and options, if applicable. Prices are in US dollars unless
otherwise indicated.1
Business Continuity Basics - 2 days
$1,400
BCI – Good Practice Guidelines for CBCI Certification – 4 days
$2,750
Options:
CBCI Certification Exam 2
$550
20% of
exam fees
Sit-in Period for Certification exam 3
BCI – Business Impact Analysis (BIA) – 2 days (English material only)
$1400
BCI – Crisis and Incident Management – 2 days (English material only)
$1400
BCI – Writing Business Continuity Plans – 1 days (English material only)
BCI – Exercise Planning Course – 2 days
$1400
BCI – Supply Chain Continuity – 1 days (English material only)
Course Inclusion
-
Professional Instructor
Training workbook relevant to courses selected
Attendee certificate
Refreshment breaks
$700
$700
Payment Method
Check
Bank Transfer
PayPal Credit Card
Course Schedule
Course Venue
Typically during office hours
To be confirmed
1 Indicated prices do not include applicable taxes.
2 Please note that the exam will take place from the comfort of your home or after the class, at a moment agreed
with the Business Continuity Institute (BCI).
3 Administrative fees to organize a sit-in period are covering for location and an independant proctor. Sit-in
period organized outside of Montreal may imply additional costs. A minimum of 2 attendees are required for the
sit-in period to be organized.
Last update : February
2017
Page 2