Registration Form

Registration Form

FACILITY AND MAINTENANCE SUPERVISOR'S WORKSHOP

COMPANY NAME ____________________________________________________

STREET ADDRESS __________________________________________________

CITY _________________________________ STATE _______ ZIP____________

Phone __________________________ FAX_______________________________

ATTENDEES:

Name: _____________________________________________________________

WORKSHOP FEE: $195 Per Person (Includes Take-home Workbook)

Fees Are Payable In Advance

Check, Money Order, Visa or MasterCard Accepted. Purchase orders accepted from Public Schools, Universities, Colleges and Government Agencies.

CREDIT CARD INFORMATION:

___ Visa ____MasterCard

CARD # _________________________________________EXP. DATE _____________

SIGNATURE __________________________________________

Send This Form With Payment To:

Technical Training Associates, HC 70 BOX 3172, Sahuarita, AZ 85629

Fax to 520-648-3334

Call 520-625-6847 to register by phone.