This page is designed to allow OLT Resellers to register multiple students in OLT GED courses.

Company or InstitutionPin #Contact Person

Contact Email Phone Fax

I Prefer to pay by Visa Master Card for a total of Student Registrations. (max 10 per page)
at the end of the month

Your Credit Card Number :  Exp.Date: 

Your Billing Address:  Street : 
City:  State:  Zip Code: 

Student 1

Name

StateDay PhoneFaxE-mail

Student 2

Name

StateDay PhoneFaxE-mail

Student 3

Name

StateDay PhoneFaxE-mail

Student 4

Name

StateDay PhoneFaxE-mail

Student 5

Name

StateDay PhoneFaxE-mail

Student 6

Name

StateDay PhoneFaxE-mail

Student 7

Name

StateDay PhoneFaxE-mail

Student 8

Name

StateDay PhoneFaxE-mail

Student 9

Name

StateDay PhoneFaxE-mail

Student 10

Name

StateDay PhoneFaxE-mail

updated May 4, 2005
by Mary Elizabeth Hedglen

OnLine Training, Inc.