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Home > Business/Industry Training
BIT Course Registration

Personal Information 
* Denotes Required Fields
Last Name*:
First Name*:
Address*:
City*:
State*:
Zip*:
Daytime Phone*:
Evening Phone*:
Email Address:


Employer Information (optional) 
Employer:
Supervisor:
Title:
CompanyAddress:
Company City:
Company State:
Company Zip:
Previous Student of    
Industry Training?:		Yes / No


Course Information 
Course Number and Title*:
Course Number and Title:
Course Number and Title:
Total Cost*:


Payment Information 
Check:(Payable to MTI - BIT Office)
        Check Amount:
        Check Number:
Purchase Order:
        PO Number:
Invoice my Company:
        Attention:
Tax Exempt:
        Tax Exempt ID:
You may submit credit card information below. Mitchell Technical Institute cannot ensure that your information is safe, as this is not a secure server.
Credit Card:MasterCard Visa Discover
Credit Card Number:
Expiration Date:
Credit card information can also be phoned in to 1-800-952-0042 or to 605-995-3056.


Registration isn't finalized until payment is received. Please mail check/purchase order/credit card information to:
MTI - BIT Office
821 N Capital
Mitchell, SD 57301

Please check information for accuracy before submitting. You will receive a confirmation message when your information has been received.
Mitchell Technical Institute · 821 N Capital Street · Mitchell, SD 57301 · 1-800-MTI-1969
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