MERIT MicroEnterprise

MERIT Orientation Registration Form

By admin, December 2, 2009

To sign up for an upcoming MicroEnterprise Orientation, please submit the form below or call 503.399.5088. You will receive a reminder/confirmation call or email before the orientation date.

If you cannot attend one of the upcoming orientations, but would like to be informed about future trainings and orientations, please fill out the information below and click the "please send me a flyer" button.

If you have any questions, please call 503.399.5088

* First Name

* Last Name

* Street Address

* City

* Zip Code

* Phone Number

* Email

* Birth Date

If you have taken a course at Chemeketa in the past under a different last name, please enter that name here:

Date of orientation you would like to attend (mm/dd and city):

Para inscribirse en la clase en español, haga clic aquí:

Me gustaría registrar para la clase en español.

If you cannot attend this session and would like us to send you a flyer for the next orientation and training session, click here:

I cannot attend. Please send a flyer.

* How did you hear about us?

Message

* Verify

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