///MARSEC
Maritime Security Training
Winter 2008/2009




Registration


Please assign only one person per page.

Name: ____________________________________________________

Address: ____________________________________________________

E-mail: ____________________________________________________

Office Phone: _____________________ Cell: _________________________

Training Location and Dates: ______________________________________

Please circle desired course:

1. Vessel/Facility/Company Security Officer Course

2. Personnel with Security Duties Course

3. Maritime Security Awareness Training Course

Owner or operator point of contact.
______________________________________________________________________________
______________________________________________________________________________
Office: ________________________ Cell: __________________________

Confirmation letter from owner/operator verifying employment may be required for FSO course. Registration Forms may be emailed to BgMarsec@aol.com or Fax to 225-612-6438. Send forms as soon as possible to reserve seat. Payment may be by VISA/Mastercard/American Express or by check mailed to:

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