Agent Training Registration Name* First Last Company*Email* Phone*Cell Phone (if different)How much experience do you have in the payments industry?*0-1 years2-5 years5-7 years7-10 yearsmore than 10 yearsChoose your training date*August 22nd - 24thSeptember 19th -21stOctober 17th - 19th (LAST TRAINING FOR 2018)Are you a new agent with NXGEN or returning for additional training?*New AgentReturning AgentWill you be joining us onsite or online?*OnsiteOnlinePlease make your reservations here*ONLINE - NO HOTELLOCAL AGENT - NO HOTELFirebrand Hotel, Phone:(844) 863-1900 or (406) 863-4055Hampton Inn, Phone:(406) 730-8901*Agent is responsible for making lodging reservations. Lodging costs may be reimbursed to the agent upon 5 Approved Merchant Applications within 60 days of completed training.Do you have any Dietary Restrictions (please list)?Do you have any physical limitations that would require accommodation during our class sessions?What else can we help you with?Agents are responsible for travel costs and hotel costs upfront. Agents may be reimbursed for hotel costs upon 5 approved merchant applications within 60 days of completed training. NXGEN provides breakfast, lunch, and snacks during the training. NXGEN also hosts one dinner during the training.