Registration Form

Fill in the form below to register for training.

Government rates no charge, if space is available. Half price to reserve seat.

Other locations are available upon request.

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

Address:

E-mail: *

Office Phone:

Cell Phone:

Training Location & Dates: *

Please check desired Modules

Mod 1 & 2

Mod 3

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 FSO course. Register by phone at 630-399-3962. 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

Additional Info