Please fill out this form to request to host an (ISC)2 CBK® Seminar.
Requester's Name
Requester's Email Address
Requester's Phone Number
Choose one of the following Seminar types:
CISSP Standard CBK Review (5-Day) CISSP Gold Series CBK Review (6-Day) CISSP Abbreviated CBK Review (2-3 Day) CISSP CBK Overview (1 Day) SSCP Standard CBK Review (3-Day)
Will the Seminar be open to public registrants or for company personnel only?
Public registrants are welcome This is a private Event
If an open Seminar, enter the City name to be posted on the web.
If an open Seminar, enter a link to your website where registrants may obtain more information.
If an open Seminar with a web link, provide the web link label.
Seminar Start Date:
-- mm/dd/yy
Seminar Site Location Name
Seminar Site Street Address
Seminar Site Suite Number
Seminar Site City
Seminar Site State
Seminar Site Zip Code
Enter the Capacity of the Site location.
If an open Seminar, how many seats should be held in reserve for the Host?
Site Point of Contact (POC) Name
Site POC Email Address.
Site POC Phone Number.
Site POC Fax Number.
Enter Name of Host (if different from Site Location Name above).
Host's Billing Street Address
Host's Billing Suite Number
Host's Billing City
Host's Billing State
Host's Billing Zip Code
Billing Point of Contact (POC) Name
Billing POC Email Address
Billing POC Phone Number.
Billing POC Fax Number.
Method of Payment for Registrants:
Individual Registrant Payments Corporate or Organization Payment
Additional Details:
Would you like to host an exam to immediately follow?
Yes No
Exam Date:
