FTI TRAINING REGISTRATION FORM

To Register:
Print, Complete & FAX to 540-949-8362

Name of Class:_____________________________________________________________

Class Date & Location:______________________________________________________

Name:____________________________________________________________________

Company:_________________________________________________________________

Address:___________________________________________________________________

City:__________________________________State:______Zip:_______________________

Phone:________________________________Fax__________________________________

E-mail Address:______________________________________________________________

Charge for Class: $______

PAYMENT METHOD: (Circle one)

VISA             MasterCard             AMEX             Company Check (allow 10 days)

Credit Card Number:_______________________________________Exp. Date:_________

Print CardHolder’s Name:_____________________________________________________

I have read and understand the Cancellation/Refund Policy.

Signature:___________________________________________________________________

CANCELLATION / REFUND POLICY: Prepayment is required. For government employees, government purchase orders are acceptable. You may cancel your registration 14 days before the training date and receive a full refund. If you cancel the training less than 14 days before the workshop date, no refund will be given. You may send a substitute in your place or register to attend another scheduled class within one year of your original scheduled workshop date. We reserve the right to cancel classes 14 days prior to the class.