EmailMe Form - Superintendent Training Feb. 2018 (10 week course)

Name

Company

E-mail Address

Number of participants

Name of Attendees *

Email Address(es) of Attendees *

Cell Phone Number(s) of Attendees *

Payment Options

Card Number

Expiration Date

CSV Code

Name on Card

First Last

Billing Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cancellation Policy *

I understand that I will be billed for this registration and agree to pay any charges incurred. I understand that I am able to cancel my registration up to 1 week prior to this event without penalty and/or charges.

Effective 9/1/17 – We will be assessing a 3% charge on all credit card purchases.