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Registration Form

Please complete and click on the submit button to e-mail your registration to Business Trainers.net. You may also print out the completed form and mail it or fax it to Us. at the address/ fax no. below.

Order Contact Information
Company Name *
Address 1 *
Address 2:
City *
State * Zip or Postal Code * Country
Daytime Phone Number *
FAX Number *
We will FAX your confirmation.
E-Mail Address *
Person Placing Order *
Title *

 

Attendee Information
Seminar/Program Title  
Full Name*
Fax Number*
Seminar Location*
Seminar Date*
Fee
Full Name
Fax Number
Seminar Location
Seminar Date
Fee
Full Name
Fax Number
Seminar Location
Seminar Date
Fee
Full Name
Fax Number
Seminar Location
Seminar Date
Fee
Seminar Tuition
U.S. $ 3900.00
Second registrant from the same organization
U.S. $3500.00
Additional registrants from the same organization: U.S. $3300.00 each 		Tuition Fees...
cover registration, classroom sessions,on-site visits, and all meeting materials. Tuition does not include transportation or daily living expenses. All fees are payable to Unz & Co.
(overall tuition fee includes the U.S. $500.00 deposit paid at the time of the initial registration.)
Billing Information
Please enter purchase order number or credit card information:
Purchase Order Number:
Card Holder's Name:
Credit Card Type
Credit Card Number (no dashes/slashes/etc.)
Credit Card Expiration Date

Cardmember agrees to perform the obligations set forth by the
cardmember's agreement with the credit card issuer.

* fields with the red asterisk indicate required information.

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