ibml

This online request form is intended to help you submit all of the needed information in order to be contacted about a training class. This form will NOT automatically enroll you in any ibml training class. If you are working with a current install, you will need to enroll through your ibml Customer Service representative.

Note: You are NOT enrolled until you receive an enrollment confirmation e-mail from the ibml Training Dept. Confirmation of class enrollment will not be sent until proof of payment is sent on your company letterhead with purchase order (PO#) number stated.  Please confirm your enrollment before making your travel plans! All travel and living expenses are the responsibility of the customer. All ibml courses are conducted in English unless otherwise noted.

* notes a required field

Student Name*
Does the student speak English?	Yes No If no, what language?
Requestor Name*
Contact Information
Organization*
Street Address*
Address (cont.)
City*
State/Province*
Zip/Postal Code*
Country*
Work Phone*
Student email Address*
Requestor email Address
Hardware Support Location Information Enrollees seeking a Software class mark this section with n/a.
Reason for enrollment.*	Select Reason New Account (change in provider or relocation) New Install (new scanner) Replacing Trained FE (PO may be required) Additional FE (PO may be required)
CS Project ID
Purchase Order Number *	If Paying by credit card, Call ibml and request for somone in the Training Dept.
What service city will you be support?*
What account(s) will you be supporting?*
What account(s) are you already supporting?*
Are you the primary or secondary technician for these sites?*	Select Primary Secondary
Course Type
Courses	Select Course Birmingham, AL ImageTrac Hardware Birmingham, AL SoftTrac Administration Birmingham, AL Combined SW and HW Konstanz, Germany SoftTrac Administration Konstanz, Germany ImageTrac Hardware
Requested Course Date	mm/dd/yyyy A value is required.Invalid format.
On-Site Courses	Select Course On-Site SoftTrac Domestic US Only On-Site Hardware ImageTrac Domestic US Only On-Site SoftTrac International Only On-Site Hardware ImageTrac International Only On-Site DocNetics Advanced Domestic US Only On-Site DocNetics Advanced International Only On-Site ICR Domestic US Only On-Site ICR International Only On-Site Industry Specific Domestic US Only On-Site Industry Specific International Only Select Additional Participant 1 2 3 4 5  Select Additional Participants
Specialty Courses	Select Course Birmingham, AL ICR Administration Class Birmingham, AL DocNetics Suite Advanced Class Birmingham, AL Industry Specific Class
Your ibml Contact Name*	(Who did you speak with about this class?)
List Scanner Model(s)	ImageTrac II ImageTrac III ImageTrac III Version 2 ImageTrac IV ImageTrac 3e series
Comments, additional information:
Additional Students
Student Name
Student email Address
Student Name
Student email Address
(Press 'submit' only ONCE ... to avoid duplicate entries.)	By submitting this form you are agreeing to the ibml Training Terms. I have read and I do meet the minimum prerequisites for attending this class.
	Please allow time for form to process ... wait for the "Thank You" screen.