RACM Registration Form - The Recruiter Academy

Recruiter Academy Certified Marketer Program - Registration Form

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Organization(Required)

Name(Required)

First Last

Email (please use Business email only - no personal emails)(Required)

Title(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Special Instructions

How did you hear about us?(Required)

Which class are you Registering for?(Required)

Payment

Invoices will be sent via email

Would you like to pay by credit card (a 3.1% processing fee will be added)(Required)

Yes

Billing Email(Required)

**Confirmation/invoice will be sent to this email

Number of Enrollees

Enrollees

Enrollee 1 Name(Required)

First Last

Enrollee 1 Title(Required)

Enrollee 1 Email(Required)

Enrollee 2 Name(Required)

First Last

Enrollee 2 Title(Required)

Enrollee 2 Email(Required)

Enrollee 3 Name(Required)

First Last

Enrollee 3 Title(Required)

Enrollee 3 Email(Required)

Enrollee 4 Name(Required)

First Last

Enrollee 4 Title(Required)

Enrollee 4 Email(Required)

Enrollee 5 Name(Required)

First Last

Enrollee 5 Title(Required)

Enrollee 5 Email(Required)

Enrollee 6 Name(Required)

First Last

Enrollee 6 Title(Required)

Enrollee 6 Email(Required)

Enrollee 7 Name(Required)

First Last

Enrollee 7 Title(Required)

Enrollee 7 Email(Required)

Enrollee 8 Name(Required)

First Last

Enrollee 8 Title(Required)

Enrollee 8 Email(Required)

Enrollee 9 Name(Required)

First Last

Enrollee 9 Title(Required)

Enrollee 9 Email(Required)

Enrollee 10 Name(Required)

First Last

Enrollee 10 Title(Required)

Enrollee 10 Email(Required)

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