Registration Form

Fill in the form below to register for training.

Government employee rates are half of listed price.

Please respond to BgMarsec@aol.com or call 225-295-5648 / 630-759-3962 / 630399-3962 / for more information. Other locations are available upon request. Please register early due to limited space.

For a printable form, click on link under additional info on the left of this page.

Name (Plese assign only one person per e-mail): *

Address:

E-mail: *

Office Phone:

Cell Phone:

Training Location & Dates: *

Please check desired Modules

VSO Refresh

VSO

CSO

FSO

Owner or operator point of contact: *

Owner office phone number: *

Owner cell phone number:

Confirmation letter from owner/operator verifying employment may be required for course. Printed forms may be faxed to 225-298-1303. Send forms as soon as possible to reserve seat. Payment may be made by VISA/Mastercard/American Express or by check mailed to:

MARSEC Corp.
2900 Westfork Dr., Suite 200
Baton Rouge, LA 70827

///MARSEC Corp.

Maritime Safety & Security