M.P. Review Online Registration Form
* = Required Fields

Personal Information

* Your first and last name:

* Street Address:

* City:

* State:

* Zip Code:

* Home Phone Number ###-###-####:

Fax Number:

* Primary Email Address:

Date of Birth:

Employer Information

* Employer:

* Work Street Address:

* Work City, State Zip:

* Work Phone Number ###-###-####:

Which Course Option would you like to register for?

All Prices Include: review courses, supplemental handouts and parking.

Option 1: Complete Exam Review (PE 8hr., Surveying & Seismic)

Without Required Texbooks: $1,095
With Required Texbooks: $1,495
Repeating All Courses $0

Option 2: 8-Hour Civil Review Courses

Without Required Texbook: $795
With Required Texbook: $1,075
Repeating 8hr Courses $0

Option 3: Surveying Review Courses

Without Required Textbook: $430
With Required Textbook: $550
Repeating Surveying Courses $0

Option 4: Seismic Review Courses

No Required Textbook: $430 (Instruction Material Included)
Repeating Seismic Courses $0

Option 5: Choose Specific Courses
Geotechnical (1-day : $215)
Hydrology and Hydraulics 1 & 2(2-day : $430)
Environmental (1-day : $215)
Structural 1 & 2 (2-day : $430)
Traffic/Transportation (1-day : $215)
Construction (1-day : $215)
Repeating These Specific Courses $0

Discounts: Click Applicable Discounts
5% off (More than two students from the same company/agency)
Please input name(s) of other individuals from same company/agency that are registering with MP Review:

5% off (Early Registration-see deadline http://www.civilreview.com/pecivil.htm#COST)
10% off (If you are a member of the ASCE)
Please input your ASCE membership number which is subject to verification:

Credit Card Information:
* Please confirm by typing the total amount to be charged to your credit card:

* Credit Card number (numbers only: no spaces or dashes):

* Credit Card Security Number (located on the back of your credit card):

* Name on card:

* Expiration date:

* Credit Card Type:
VISA MASTER CARD

* Installment Options:
FULL PAYMENT (Charged immediately)
TWO EQUAL NO-INTEREST PAYMENTS (One payment at registration and the other after half the registered courses are completed. Available for "Option 1" registration only.)

How did you hear about us?


**For Retakes** Which exam did you first register with us? (Ex: April 2007 Exam)