Training Registration

DM CONSULTING
DRY DOCK TRAINING REGISTRATION 

Please fill out a separate form for each attendee and return to DM Consulting by e-mail, by fax (1-858-538-5372) or by
ground mail (12316 Dormouse Rd, San Diego, CA 92129 USA).  Seating is limited so please register early.



Check the course you will attend:
 
_____  13-16 September 2010, San Diego, CA, USA 
_____  15-18 November 2010, Virginia Beach, VA, USA

Name/Title: __________________________________________________

Organization: ________________________________________________

   Address: __________________________________________________

            __________________________________________________

Phone No(s): _________________________________________________

        Fax: _________________________________________________

     E-mail: _________________________________________________

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TRAINING FEE:

$1200.00 if payment is received at least five weeks prior to the training start date.

$1350.00 if payment is received at least one week prior to the training start date.

$1500.00 if payment is received less than one week before the training start date.


___ Payment enclosed.  ___ Check. Make checks payable to DM Consulting.

___ Credit card. Visa MasterCard AMEX (circle one)

Card holder name ___________________________________

Card number ___________________________________

Expiration date ___________________________________

___ Payment will be made at a later date, prior to the start of the Training.

___ Bill my organization/me. The reference/purchase order number and invoice address is:
            ______________________________________________
            ______________________________________________
            ______________________________________________

Confirmation of registration will be sent to all attendees.
All payments are 100% refundable if you cannot attend the training.