BOMI- Course Enrollment and Registration Application

Course Enrollment and Registration Application

	*Required Fields
*Prefix:	Mrs. Ms. Miss Mr.
*First Name:	(please type name as you would like it to appear on your certificate.)
Middle Name:
*Last Name:
BOMI ID#	(if a current student)
Company Name:
*Email:
**Mail to: Office Home
*Mail correspondence/grades to: Office Home

OFFICE << Please fill out BOTH addresses >> HOME

Company Address:

City:
Province:
Postal Code:
Work Phone:
Fax:

Home Address:

City:
Province:
Postal Code:
Home Phone:
Fax:

Step 1

ENROLLMENT OPTIONS AND FEES - Select option a,b,c,d or e: CURRENT STUDENTS - If you have not yet completed the enrollment application please do so and submit it with this registration form.
	I am already enrolled in the Institute's (select one) RPA FMA SMT/SMA designation program
	I am a BOMI designation holder who wants to enroll in a second (or third) designation program. Select one: RPA FMA SMT/SMA (Canada: $80 +GST)
	I am a BOMI designation holder who wants to take a BOMI course for CPD credit (maximum 1 course every 3 years). NO ADDITIONAL ENROLLMENT FEE. NEW STUDENTS - All new students are required to fill out the enrollment application & submit it with this registration form.
	I am a new student who wants to enroll in the (choose one) RPA FMA SMT/SMA designation program. Canada:$210+GST.
	I am a new student who wants to take an individual course (or courses) only. Canada: $80 + GST per course. Your first course enrollment fee may be applied toward a designation enrollment fee.

Step 2

STUDY METHOD - Mark the code that applies to each course you are registering for on the form below:
SS - Self-Study: Please refer to the Self-Study Prices and Exam Dates section in the Fees section on the left.

AR - Accelerated Review: For prices, click on the Schedules section and contact the sponsoring BOMA local.

Classroom Study: Contact the BOMA Local nearest you (click on Schedules) for course availability, dates and fees, or call 1-888-821-9319. In Toronto: (416) 977-8700.

Step 3

>

Course Title	Study Method	Exam Date	Location (If self-study, list major city nearest to you)	Fee







Canadian Students add applicable GST (in Nova Scotia, New Brunswick, & Newfoundland (HST))
(see section 1 above) Total Enrollment Fee(s)
Miscellaneous fee -- if applicable (e.g., late registration fee, exam re-registration fee)
Total Amount Due
All Canadian Fees are subject to GST or HST (GST/HST Registration #R106817562) Shipping outside North America not included; please call for pricing.

Payment

Cheque - payable to BOMI Canada

Purchase Order -copy of P.O. must be attached.

Credit Card Visa MasterCard American Express 4 digit code

Card Number:		Expiration Date: Mo. Yr.
Name on Card:

Contact

Privacy Policy