AIB Online Course Registration Please complete the form below to register for an AIB Online Course.  All fields are required in order to process your request.  You'll receive a confirmation of receipt within one week of registration and an email with log-in instructions just prior to the course start date.  You should receive your textbook (if applicable) within 10 days of registration.  Please call 212-297-1679 or email elegg@nyba.com if you have any questions.  First Name:     MI:   Last Name: E-mail:           Title:               Last 4 digits SS#: For tracking purposes Bank/Firm:  Address:       No PO boxes City:                State: Zip Code:       Country: Telephone:   Fax: Course:       Catalog #:  Start Date: I authorize the release of my grade to my employer, the New York Bankers Association and to any accredited college or university for the purpose of receiving credit.  Yes   No Payment Information Mail check (payable to New York Bankers Association) Please invoice me (for member banks/firms only) Credit card - please call 212-297-1666 with number, or fax form to 212-297-1683 with credit card information        (MC or Visa only accepted) - provide card type, number, exp date and 3-digit security code Billing Address for Credit Card Payment First Name:    Last Name: Bank/Firm:  Address:      PO Box allowed City:             State: Zip Code:   Country:    Cancellation Policy Cancel at least 10 days before the start of the course and receive a full refund.  Cancel within 10 days of the start date and receive a refund less $100 per course.  For a refund, the unmarked textbook must be returned to the ABA, along with the packing slip.  You may request a transfer only once at a fee of $100.  There are no refunds for cancellations received more than 10 days after the start of a class. Please print this page for your records before submitting.