NORMI™ Class Registration Form

*Since we Certify Individuals not Companies, please enter your Personal Information*

Today's Date * Required

Name * Required

Please type your name exactly as it should appear on your certificate. * Required

Mailing Address * Required

Please enter the address you would like your certificate mailed to.

Phone

Company Name

Website

Would you like to share and receive contact information with other members of this class for networking purposes? * Required

(Name, Email, Phone #, and State)

Do you need CEUs for the IICRC?

If yes, please enter your IICRC ID# here.

(We cannot submit to the IICRC without this)

Electronic Signature * Required