AGTA eLearning Registration

 

Please enter the information below to register for the AGTA eLearning Courses.


* Indicates required field.

Company Contact Information:

Company:* 

  

Address:* 

City:* 

  State/Prov:*

Zip:*

  Country:* 

Phone:* 

Fax:*

Check here if your company is an AGTA Member and will get five FREE registered users!

As a benefit of membership in AGTA, each member company will get five FREE registered users. Additional staff members will be $25 per person.  Non-member companies can get an annual subscription to the platform for $350 for up to five staff members, then $75 per additional staff member.  For larger companies, please contact Adam Graham – adam@agta.org – for volume pricing. If your company is not an AGTA Member please visit the AGTA Membership area for more information on Membership.

The first employee below will be the primary person responsible for traning in your company. This person will be able to monitor the progress of the other registered staff.

Each employee below must have a unique email address. Their email address will be their user name to log on to the eLearning system.
Employee 1 First Name:* Employee 1 Last Name:* Employee 1 Email:*
Employee 2 First Name: Employee 2 Last Name: Employee 2 Email:
Employee 3 First Name: Employee 3 Last Name: Employee 3 Email:
Employee 4 First Name: Employee 4 Last Name: Employee 4 Email:
Employee 5 First Name: Employee 5 Last Name: Employee 5 Email:


Check this box if you have more than 5 employees you wish to register.

Additional Remarks: