Registration Form

REFRIGERATION FUNDAMENTALS AND HANDS-ON  WORKSHOP

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.