EXACT E-learning Portal Registration

Practice Name *

Practice ID in EXACT *

Your Team will be added to our E-learning Portal as a ‘Learning Group'.

We will also set up an E-learning Team Leader.

The Team Leader can assign topics and track e-learning progress

First Name (E-learning Team Leader) *

Last Name (E-Learning Team Leader) *

Email *

How did you hear about the EXACT E-Learning Portal? *

Register your Team

Note: The email address must be unique for each person you wish to register.

	First Name	Last Name	Email address**
E-learner 1	First Name	Last Name	Email address**
E-learner 2	First Name	Last Name	Email address**
E-learner 3	First Name	Last Name	Email address**
E-learner 4	First Name	Last Name	Email address**
E-learner 5	First Name	Last Name	Email address**
E-learner 6	First Name	Last Name	Email address**
E-learner 7	First Name	Last Name	Email address**
E-learner 8	First Name	Last Name	Email address**
E-learner 9	First Name	Last Name	Email address**
E-learner 10	First Name	Last Name	Email address**

Please submit two registration forms if you wish to register more than 10 people

Turnaround: Please allow up to 3-5 days for your registration. A training consultant will contact you with further information once registration is complete.