PCT Exam Registration

To register enter the information below and then click on "submit" ~ you will then be taken to the payment page.

Payment must be made before registrations can be process.

Register Please select an item.
First Name
Required. 
Middle Name
Name ~ Not initial
Last Name
(Surname)
Required. 
Address
Required.
City
Required.
State Required.
Zip A value is required.Invalid format.
Work Phone A value is required.Invalid format.
Home/Cell Phone A value is required.Invalid format.
Email
A value is required.Invalid format.
CHT Cert # Required.
(Enter PENDING if you don't have one yet) 
Date of Birth  (MM/DD/YYYY) A value is required.Invalid format.
Exam Application Type:

     Early Registration $175    
     Late  Registration $200   (within 2 weeks of the Exam Date)

To go to payment page. Note: Registrations cannot be completed until payment is made.