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*October 23-25, 2019 [FINAL 2019 TRAINING]Choose your training date*September 18-20, 2019October 23-25, 2019November 20-22, 2019 (tentative)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.Please 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.