 Name: _____________________________________________________ Job Title: _____________________________________________________ Organization: _____________________________________________________ Division: _____________________________________________________ Address: _____________________________________________________ Address2: _____________________________________________________ City: ___________________ State: ___________ Zip Code: ________ E-mail: _____________________________________________________ Phone Number: ______________________ Fax Number: __________________
Tax Exemption #: ___________________ PO #: _________________________ Payment Method: Name of Cardholder: ________________________________________________ Card Number: _____________________________ Expiration Date: ________ Signature: ___________________________________ Coupon ID: __________ Fax To: 1-888-872-4619 Cancellation Policy: Cancellation or rescheduling of a workshop may be made (in writing) without penalty up to three business days before the start date. Full invoice charges will apply to any cancellation or rescheduling made within three business days of the course start date. However, a substitute delegate is always welcome at no additional charge. Please note that non-attendance at the workshop will result in full invoice charges. Should we be forced to cancel a workshop for any reason, liability is limited to reimbursement of paid registration fees. Performance Training Solutions Inc., 2020
Pennsylvania Ave. NW, Suite 532
• Washington, DC
• 20006 • Phone: 888-872-4641 |
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