Technical Training Associates
Workshop Registration Form
Hands-on HVACR Electrical System Troubleshooting
Workshop Fee: $395.00 (Includes Take-Home Digital Multimeter)
COMPANY NAME ___________________________________________________
STREET ADDRESS _________________________________________________
CITY _________________________________ STATE _______ ZIP___________
Phone __________________________ FAX______________________________
ATTENDEES:
Name: ____________________________________________________________
Name: ____________________________________________________________
Name: ____________________________________________________________
Name: ____________________________________________________________
Workshop Dates:____________________________________________________
Workshop Location: __________________________________________________
WORKSHOP FEE: $395.00 Per Person
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 Security #________________)
CARD # _______________________________________________EXP. DATE _____________
SIGNATURE __________________________________________
Send This Form With Payment To:
Technical Training Associates, HC 70 BOX 3172, Sahuarita, AZ 85629
Or Fax To: 520-648-3334
Call 520-625-6847 to register by phone.