if(state=="NJ"){ alert("New Jersey currently requires classroom instruction to satisfy the state requirements. While we are working with the Boating Law Administrator of New Jersey to have America's Boating Course recognized as satisfying those requirements, you may want to obtain additional information prior to purchasing. Use the Back Button on your browser and use the 'Ask A Question' button to receive more information."); document.ABCFORM.TAX.value=0.00; document.ABCFORM.SHIPAMOUNT.value='5.50'; document.ABCFORM.PHONE.value="xxx-xxx-xxxx"; document.ABCFORM.ZIP.value=""; document.ABCFORM.PHONE.value=""; document.ABCFORM.USER10.value="US"; document.ABCFORM.AMOUNT.value=(document.ABCFORM.AMOUNT.value-0)+(document.ABCFORM.TAX.value-0); var newamount=document.ABCFORM.AMOUNT.value; newamount=newamount.toString() document.ABCFORM.AMOUNT.value=newamount.substring(0,5); } if(state=="CT"){ alert("Connecticut currently requires classroom instruction to satisfy the state requirements. While we are working with the Boating Law Administrator of Connecticut to have America's Boating Course recognized as satisfying those requirements, you may want to obtain additional information prior to purchasing. Use the Back Button on your browser and use the 'Ask A Question' button to receive more information."); document.ABCFORM.TAX.value=0.00; document.ABCFORM.SHIPAMOUNT.value='5.50'; document.ABCFORM.PHONE.value="xxx-xxx-xxxx"; document.ABCFORM.ZIP.value=""; document.ABCFORM.PHONE.value=""; document.ABCFORM.USER10.value="US"; document.ABCFORM.AMOUNT.value=(document.ABCFORM.AMOUNT.value-0)+(document.ABCFORM.TAX.value-0); var newamount=document.ABCFORM.AMOUNT.value; newamount=newamount.toString() document.ABCFORM.AMOUNT.value=newamount.substring(0,5); } if(state=="PR"){ alert("Puerto Rico currently requires instruction in charting to satisfy their requirements. While we are working with the Boating Law Administrator of Puerto Rico to satisfy those requirements, you may want to obtain additional information prior to purchasing. Use the Back Button on your browser and use the 'Ask A Question' button to receive more information."); document.ABCFORM.TAX.value=0.00; document.ABCFORM.SHIPAMOUNT.value='5.50'; document.ABCFORM.PHONE.value="xxx-xxx-xxxx"; document.ABCFORM.ZIP.value=""; document.ABCFORM.PHONE.value=""; document.ABCFORM.USER10.value="US"; document.ABCFORM.AMOUNT.value=(document.ABCFORM.AMOUNT.value-0)+(document.ABCFORM.TAX.value-0); var newamount=document.ABCFORM.AMOUNT.value; newamount=newamount.toString() document.ABCFORM.AMOUNT.value=newamount.substring(0,5); } if(state=="NC"){ //alert("North Carolina residents will be charged a Tax of $2.73."); document.ABCFORM.TAX.value=2.73; document.ABCFORM.SHIPAMOUNT.value='5.50'; document.ABCFORM.PHONE.value="xxx-xxx-xxxx"; document.ABCFORM.ZIP.value=""; document.ABCFORM.PHONE.value=""; document.ABCFORM.USER10.value="US"; document.ABCFORM.AMOUNT.value=(document.ABCFORM.AMOUNT.value-0)+(document.ABCFORM.TAX.value-0); var newamount=document.ABCFORM.AMOUNT.value; newamount=newamount.toString() document.ABCFORM.AMOUNT.value=newamount.substring(0,5); } else document.ABCFORM.TAX.value=0.00; document.ABCFORM.AMOUNT.value=40.45; document.ABCFORM.SHIPAMOUNT.value='5.50'; document.ABCFORM.PHONE.value="xxx-xxx-xxxx"; document.ABCFORM.ZIP.value=""; document.ABCFORM.USER10.value="US"; document.ABCFORM.AMOUNT.value=(document.ABCFORM.AMOUNT.value-0)+(document.ABCFORM.TAX.value-0); var newamount=document.ABCFORM.AMOUNT.value; newamount=newamount.toString() document.ABCFORM.AMOUNT.value=newamount.substring(0,5); { } }

Student Enrollment

As with any educational institution, there are forms to fill in and information to be gathered. Before we proceed, we want you to understand why we are asking for this information.

Name & Address - Required to ship the course materials.

E-mail address - Providing your e-mail address is optional. If provided, we will send you a message confirming your purchase and your Student Pin. It will also simplify communications with those who will provide you with state specific information and schedule examinations.

Phone number - Required so that we have a means of contacting you.

Student's Date & State of Birth - If you should lose or forget your PIN we use this info to find it for you.

Power Boat Size - Optional info which we hope will help us determine what type of boating our students are involved in.

Sail Boat Size - same as above.

Other Boat Size - same as above.

Age Group - Optional info which we hope will tell us the age makeup of our student body.

Credit Card Number & Expiration Date - Required to purchase the course.

All fields marked with an Asterisk(*) are mandatory.

Geographic Area:*
Student's First Name:*
Student's Last Name:*
Card Holders Name:*
Address 1:*
Address 2:
City:*
State or Province:*
U.S. Zip Code:*
Country and Postal Code:  
Phone:*
E-Mail:*  
Date of Birth:*  MM/DD/YYYY
State or Province of Birth:*
Power Boat Size:
Sail Boat Size:
Other Craft Size:
Age Group:
America's Boating Course $34.95
Shipping and Handling $
Tax $
Total $