Course Information
Course:	Crew Resource Management
User Group:	Initial and RefresherCommand Upgrade(Select applicable choice for you)
Your Details
First Name:	*
Last Name:	*
NOTE: Rules for training organisations require us to capture the Date of Birth of all of our students, plus a "method used to identify the person".
Date of Birth:	Day 12345678910111213141516171819202122232425262728293031   Month January February March April May June July August September October November December   Year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023  *
Passport Number or Licence Number:	Select One: Passport Number       Licence Number  *
Email Address:	*
Phone:	*
Mobile Phone:
Fax:
Address:	*
Preferred User Name:	*
Preferred Password:	*
Re-type Password:	*
Terms & Conditions and Payment
Terms and Conditions:	* I have read, understand and accept the terms and conditions of this course.
Code:	Enter the letters shown in the image above into this text box. *
Payment Options:	You can register now by clicking the 'Apply for Course' button. Your registration will be activated when we confirm payment for the course. If you wish to do so, you can pay by credit card or account transfer and activate your registration now. Simply select the option below. This course will cost $170.00 (NZD)
Pay by Credit Card (or A2A):	Yes, pay by credit card or account transfer now.