Learning Portals Other Services Company

I request a Learn2Serve.com business account authorization code for online training courses. I understand that completion of this application will result in my company/organization receiving an authorization code that my employees can use to access training courses via a computer with modem/internet access anytime anywhere.

After processing this application, learn2serve.com will issue my company an authorization code. I understand that it is my responsibility to inform current/prospective employees of this code and that I am responsible for payment of all certificates issued to trainees via this code. Learn2Serve.com will provide a report of all certifications and employee names prior to charging/billing your account for verification purposes.

Please type/print the following information. Allow 5 days for processing. Authorization codes will only be given to the contact person listed on this form and is subject to change.



First Name


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Type of Business :
Sole Proprietorship
Corporation
Partnership

Federal Employer Identification No.
or Local State Taxpayer No