SimplyFIBER™ – Certification Training Registration

Requirements - Option 1 and/or Option 2

Option 1:

For every SimplyFIBER™ starter kit purchased (SF-SMK1) qualifies one (1) free admission to attend a Fiber Certification Class.

Option 2:

In lieu of purchasing a starter kit, you may purchase a seat at a fiber training class for $295, per attendee.

6-Hour Training Session – To view the course agenda and details, click here.

Note: All Certification Training Courses Are BISCI & AVIXA Approved. CEU’s Provided.

SimplyFIBER™ - Training Registration Form

"*" indicates required fields

Business Information

Certified Fiber Training Number

Name of Business*

Website URL

Contact Person*

Email Address*

Phone*

Street Address*

City*

State*

Zip Code*

Option 1 - Enter the Number of SimplyFIBER™ SF-SMK1 Starter Kits You Purchased:

# of SF-SMK1 Tool Kits Purchased:

Each Tool Kit includes a Cleaver with Rotating Blade, 3 Hole Fiber Stripper, Fiber Cleaner Bottle, 50 Cleaning Wipes, & Roll Top Bag.

Please Provide Your Proof Of Purchase

Date of Purchase*

Place of Purchase*

Upload a Copy Of The Invoice*

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, , Max. file size: 25 MB.

Option 2 - Purchase Training Classes for Each Attendee ($295 Each):

Do You Want To Purchase Training Classes for Any Attendees?*

YES

Note: The cost is $295 per attendee.

Number of Attendee Trainings Purchased *

Price: $295.00

How many attendees do you have?

Total Cost for All Attendees:

Credit Card*

Card Details

Cardholder Name

Total Number of Attendees:

List of ALL Attendees:*

Name

Phone

CEU Credit (AVIXA, BICSI, or Both)

Please list the name, phone, email, and type of CEU credit requested (AVIXA, BICSI, or Both) for each of your attendees.