Register for an ESHI Course  

Browse ESHI Course Schedules
   or view descriptions for the courses ESHI offers:

To register for a course, please fill out the form below. For help or more information, call Margaret at (800) 322-3433 or (904) 721-8566 or send a message to ESHI. Or send for a copy of our latest brochure with class descriptions and schedules.
Fields marked with an asterisk (*) are required

Registration Information
Company:
First Name:
*
Last Name:
*
Social Security Number:
*
Address
 *
City:
*
State or Province:
*
Country:
Postal Code:
*
Email address:
 *
Telephone:
*
Fax:
How did you hear about us?:
If other, please specify:
Course Information
Course No.:
*(Browse Courses)
Course Description:
Course Date:
*
Course Fee:
$ *
No. of Persons to Attend:
*
Billing Information
IMPORTANT:
Payment must be received prior to issuance of certificate. If you wish to pay using your VISA or Mastercard, please indicate your payment method as credit card below and a form will be presented for you to fax to ESHI or call 1 (800) 322-3433.
Payment Method:
P.O. No.:
Total Payment:
$ *