Preferred Systems, Inc
1001 State Street Suite 1400
Erie, PA 16501
Phone: 888-455-7437

Secure Registration Form

Screening and Assessment

Date: September 16, 2022   Location: Erie, PA

Returning Customers: Enter your email address and zip code below to lookup your information. You must enter the same information that you used to register for past courses.
Email: Zip / Postal Code:
New Customers: If this is your first time registering, or if you are unable to lookup your previous information, please complete the entire registration form below.

Contact Information

First Name
Last Name
Company Name
Primary Phone
Check here if the phone number you provided is your mobile phone.
Important, please provide your mobile phone number to receive alerts regarding this course and a quick access pass for check-in on the day of the course.

Billing Address


Select Credit Type

Credit Total:$0.00
Total Amount Due:$0.00
Select Payment Method

Card Type
Card Number Security Code

Payment must be received prior to attending the course.