Workshop Registration: Heating Systems Servicing Workshop
Window Rock, AZ, February 19th & 20th, 2009
COMPANY NAME _________________________________________________
STREET ADDRESS _______________________________________________
CITY ________________________________STATE _______ ZIP___________
Phone ___________________________ FAX____________________________
ATTENDEES:
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.
PO#_________________ Or, CREDIT CARD INFORMATION: ___ Visa ____MasterCard
CARD # ___________________________________EXP. DATE ________
SIGNATURE __________________________________________
To Register By Regular Mail, Send This Form With PO# Or Payment To:
Technical Training Associates, HC 70 BOX 3172, Sahuarita, AZ 85629
You May Use This Form To Register By Fax to 520-648-3334
Call 520-625-6847 to register by phone.