The Helms Group - Education & Training Enrollment Form


Company Information
**Please note this is not a secure form - it may be printed, filled out and faxed to us at 310 769 6138**
Date (mm/dd/yy)
Company Name
Company Address Suite
City
State
Zip

Student Information
First Name
Last Name
Title
Phone  
Fax  
E-mail

Please tell us about which Classes you are interested in...
Class Description Start Date End Date Fee

You will receive a confirmation notice regarding each class. Once your class is confirmed you must notify The Helms Group of any cancellations or rescheduling more than FIVE (5) working days prior to the class start date.