Technical Training Associates
Workshop Registration Form
TROUBLESHOOTING & SERVICING GAS FURNACES
February 28TH & 29TH, 2008, Rapid City, SD
COMPANY NAME ____________________________________________________
STREET ADDRESS __________________________________________________
CITY _________________________________ STATE _______ ZIP____________
Phone __________________________ FAX_______________________________
ATTENDEES:
Name: _____________________________________________________________
Name: _____________________________________________________________
Name: _____________________________________________________________
Name: _____________________________________________________________
Name: _____________________________________________________________
WORKSHOP FEE: $295 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.