Workshop / Training Signup Sheet:

Please contact us toll-free at 877-5REMOTE(877-573-6683) with any questions you may have about filling out this form.  Available training sessions and dates are listed to the right.  If more than one person from your agency will be attending, each person should fill out this form individually.  Some questions may or may not apply depending on the course you've selected.

Contact information:

*Agency: 

*Name: 

*Postal Address:


*Email address: 

*Office Phone: 

Mobile Phone: 

*Fax Number: 

*When is the best time to contact you?


Workshop information:

*Which workshop or training session will you be attending?


*Which dates? 


*denotes required field.

Travel information:

*Workshop attendees can often get special rates at the Casino Magic Hotel by registering as part of our group.   Would you like us to make reservations for you? 
Yes    No

*If so, how many occupants in your room? 

*Smoking?  Yes    No

*Will you be needing transportation between the hotel, the workshop site and the airport?

Yes    No

Miscellaneous:

*Do you already have a badge to enter
Stennis Space Center?  Yes    No

*Are you a US Citizen?  Yes    No

Payment:  (if applicable)

*Will you be paying by check or purchase order?
Check    Purchase order    N/A


Purchase order number: 

Additional information or comments: 

Please review your answers and then press the "Submit" button.  Call us as soon as possible if you have any later corrections to the information you've submitted.  Thank you!