ONLINE EDUCATION: Training application form

COMPANY NAME:
FIELD OF ACTIVITY:
LAST NAME, FIRST NAME:
ADDRESS:
(with post code)
TELEPHONE:
FAX:
E-mail: 
WWW:

CHOOSE THE PERIOD OF TRAINING:  May June July August September
FOR BEGINNERS: 
FOR SPECIALISTS:
COURSE Radio Broadcasting Technology and Equipment:

Please complete only one of two next fields, it is important for payment arrangement for your education.

PAYER
COMPANY NAME: 
LAST NAME,
 NAME OF
 PRIVATE PERSON: 

The Login and password, which should be entered now, you will use further for access to text-books and manuals, interactive tests and results. Access to all these materials will be opened on the last working day of the month previous to the month of training, provided your payment is received.

Your Login and password should contain any combination of Latin symbols with maximum length of 10 symbols.

login:        

password: 

Having clicked one of the button Registration and payment via credit card, you confirm your agreement with all parts of the Regulations for Online Education and register your application.