BOMI 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:

 



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