Individual Account

ASSOCIATION FOR THE ADVANCEMENT OF LABORATORY ANIMAL TECHNICIANS

Thanks for enrolling in the Online Learning Program. There are several ways to enroll;

1 - submit this information online by clicking on the Submit button below

2 - print this form and fax the information to 972-317-9988

3 - print this form and mail it to AALAT, 54 Remingtion Drive, Highland Village, TX, 75077

4 - call us at 800-262-5282 and give us the information requested below

 INDIVIDUAL ACCOUNT INFORMATION

Information for your account

Enter your first name here:

Enter your last name here:

Enter your email address here:

Enter a telephone number here:

Which level do you want?

Level One Level Two Level Three

There is a $29.00 fee to set up your permanent record folder. Please select a method of payment below.

Payment Method ( select one method )

Purchase Order Credit Card Mailed Check

Name or Department for invoice or sales receipt:

Street Address:

City:

State:

Zip:

Credit Card or PO number ( MC or Visa Card only):

Expiration date for credit card:

Now click on "Submit Record" button below to submit your account information to AALAT.