Guest Visit Request

Please fill out the form below to make your request to visit a training session. The purpose of the form is to obtain minimum information about you, and to notify you should the training time or location change, and to inform us of your desire to visit AEMMA.

Text boxes highlighted with "*" are mandatory fields.
*Name:
*Email:
Phone:
*City:
*Prov/State/Region:
Training Location to Visit?
Toronto  Guelph  Digby, NS  Stratford  Ottawa

How did you hear about us? (Google is the default, select "Other" for other search engines)
Google?  facebook?  blog?  Radio  TV  Newspaper
 Flyers  Word of Mouth  ROM Other

Visit Request Date/Questions/Comments
Would you like someone to contact you by email?   Yes  No
privacy & security

The guest understands that the information collected in this online form is for the sole purpose to create a visit request. The comments entered will not be edited nor changed by AEMMA and will be included in an email and transmitted to the appropriate individuals in AEMMA as is. The visit request submitted by the guest shall not be used for the purpose of promoting products and/or services of any kind. By virtue of your submitting a visit request, AEMMA will assume that the guest is in agreement.

Please wait for the confirmation of your guest visit request