1- Fill out ALL appropriate drop-down boxes
2- Print the form
3- Complete the printed form by hand and sign it
3- Mail it with check or fax it with payment information
 

Edgetech America, Inc.
Training Credits

 
Tel: 888-334-3832  -  Fax: 866-334-3832
Tel: 804-935-6935  -  Fax: 804-935-6936

25 credits for $10,000 Saves 11%*
50 credits for $18,000 Saves  20%*
Packs of 100 credits for $33,750 each Saves 25%*

* The savings are compared to Edgetech's 2008 individual registration rates.

Your Organization:


Dept./Section:


Your  name:


Title:


Work address:


City:


 State:


ZIP:


Tel:


Fax:


Email:


How did you learn about the training credits?:

 

Specifics (keywords, name, web, etc.):

Payment Information:

 

Amount: $


Credit card, check or P.O. No.:


Credit card
expiration date:


Confirmation code
(back of credit card):


Choose a password that trainees will need to take advantage of the credits you are purchasing. If you are purchasing by PO, the PO number would be a good example:


Make payable to: Edgetech America Inc, P.O. Box 4739, Glen Allen VA 23058-4739, USA * Fax: 804-935-6936

Registration & Cancellation Policies

Credits must be used within 18 months of this order or will be lost. Training space is limited and is reserved on a first-come, first-served basis. To register, trainees must complete Edgetech's individual registration form (including providing the password you specified above) and fax it to Edgetech. We confirm ten (10) days prior to the scheduled starting date. Edgetech is not responsible for nonrefundable travel arrangement losses resulting from course scheduling changes or cancellations prior to class confirmation. Tuition includes a $100 processing fee per class. If a registered student cancels five (5) working days or less prior to class starting date, or fails to appear for the class, the full tuition will be charged.

I understand and agree to the terms and conditions of this application.

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Date: