Bowen EHS - OEHS Professional Development

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Instructions for Registration/Enrollment

Registration consists of two parts:

course information
payment: we accept checks and the following:

You must complete both parts to be fully enrolled in the course.

A payment / invoice link is sent via email to you after entering your course information so that you or someone on your behalf can pay later.

Invoice Options

Do you need an invoice before you can pay? Click/tap the Continue button after entering your course information and look for the Get an Invoice button.

You will receive an invoice via email.

Who is paying?

Is someone else paying for your registration?

Fill out your course information. You will be sent an email with a payment/invoice link. You can forward the payment/invoice link to the person who needs to pay.

You will automatically be registered once payment is received.

Are you registering and paying for someone else?

Please read What if I'm registering and/or paying for someone else's course?

Terms

Participant Agreement (opens in new tab/window)

By registering, you agree to these terms.

Your Name and Identification

If you have registered with us before and have changed your name, please let us know your previous name in the Notes area at the end of this form so that we can keep your course records together.

(*) = required field

First Name(*)

Please enter your first name.

Last Name(*)

Please enter your last name.

We use your date of birth for identification purposes to award you contact hours/CEUs.

Date of Birth(*)

Please enter your date of birth.

Company

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Registration email address(*)

Please enter a valid email address.

Want to send a copy of this registration and payment link to another email address? (ex. personal email address, payment person, etc.) Enter it below.

Alternate email address

Please enter a valid email address.

Contact Phone(*)

Please enter a valid phone number. Only these special characters are allowed: . - + ( )

Country(*)

Please choose a country

If you are seeing multiple state/province fields, please ignore the extra fields and just fill in the option that applies to your address and country. We apologize for the inconvenience.

State / Province / Region

Please enter your state, province, or territory.

Province / Territory(*)

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State(*)

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Study Questions

Would you like to receive our free weekly study questions?

(*) = required field

Yes

No

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Check any new types of questions you would like to receive.

Question Types to Receive

ASP-CSP

CHMM

CIH

CHST

Please choose at least one question set to receive.

If you choose to receive study questions, Bowen Learning Network, Inc. will use the information you provide in this form to send you study questions and to provide marketing about our upcoming offerings via email. This information is not shared with any 3rd party for any other purposes.

You can change your mind at any time by clicking the unsubscribe link in the footer of any study question email you receive from us or by contacting us at [email protected]. By clicking the Continue button at the end of this form, you agree that we may process your information in accordance with these terms.

We use MailChimp as our marketing automation platform. By submitting this form, you acknowledge that your name, email address, and country will be transferred to MailChimp for processing in accordance with their Privacy Policy and Terms.

Other Information

(*) = required field

How did you hear about our training?

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Anything Else?

Have something else that you need to tell us? Please use the Notes section below.

Notes

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Instructions for Registration/Enrollment

Invoice Options

Who is paying?

Is someone else paying for your registration?

Are you registering and paying for someone else?

Terms

Your Name and Identification

Study Questions

Other Information

Anything Else?

Courses

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