To register, please complete the form below. All registration should occur no later than three weeks before the desired course's start date. Dr. Fleming will contact all registrants upon receipt of their forms.

Name

First Name

Last Name

Email Address

Phone

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Postal Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Exam Prep & Course Dates

Message

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Have you previously taken the CITA or ADEX exams?

If you are required to retake a portion of the exam, please indicate which one

Payment