Technical Training Associates

Workshop Registration Form

Hands-on HVACR Electrical Troubleshooting Workshop

 Workshop Location_____________________________

Workshop Date_________________________________

COMPANY NAME _________________________________________________

STREET ADDRESS _______________________________________________

CITY ________________________________STATE _______ ZIP___________

Phone ___________________________ FAX____________________________

E-Mail ___________________________________________________________

ATTENDEES:

Name: ___________________________________________________________

Name: ___________________________________________________________

Name: ___________________________________________________________

WORKSHOP FEE: $395.00 Per Person

(Includes Take-Home Digital Multimeter and 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  ___Discover  ___AMEX

CARD # __________________________________________________

EXP. DATE ________________ SECURITY CODE# _____________

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.