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Business Account Application

I request a Learn2Serve.com business account authorization code for online training courses. I understand that completion of this application will result in my company/organization receiving an authorization code that my employees can use to access training courses via a computer with modem/internet access anytime anywhere.

After processing this application, Learn2Serve.com will issue my company an authorization code. I understand that it is my responsibility to inform current/prospective employees of this code and that I am responsible for payment of all certificates issued to trainees via this code. Learn2Serve.com will provide a report of all certifications and employee names prior to charging/billing your account for verification purposes.

Please type/print the following information. Allow 5 days for processing. Authorization codes will only be given to the contact person listed on this form and is subject to change.

 
Company Name
Check Type Of Business
Sole Proprietorship Corporation Partnership
Number of Employees   
Federal Employer Identification No. or Local State Taxpayer No">:
Payment Method Options
Credit Card:
(Your credit card will be charged within 5 business days of the following month)
Purchase Order
(Statements sent 10th of each month; payment due net 10) 
Contact Person
Mailing Address
City
State
Zip
Tel -
Fax -
PO Number
Credit Card Number
Name on Card
Card Expiry Month: Year:
Email
Training Interests