Training Registration

Hands On IT Training Courses

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If you register electronically and wish to use a credit card, we will take your credit card number by fax or phone. (Please do not enter your credit card number on this form. Call or fax all card numbers after submitting this form.)

Fields marked with an * are required.

Course 1 Information

*Course:

*Location:

*Start Date: Example: 09/03/10
Please check the schedule for correct start dates.

Course 2 Information

Course:

Location:

Start Date: Example: 09/03/10
Please check the schedule for correct start dates.

Company Information

*Company Name:

*Address:

*City:

*Province:

*Country:

*Postal Code:

*Phone Number:

Fax Number:

Corporate PO#

Your Information

*First Name:

*Last Name:

*Job Title:

*Phone Number:

*E-mail:

How did you find our site?

Student Information

*First Name:

*Last Name:

*Job Title:

*Phone Number:

Fax Number:

*E-mail:

Click here if this address is the same as the company address

*Address:

*City:

Province:

*Postal Code:

Student 2 Information (if applicable)

First Name:

Last Name:

Job Title:

Phone Number:

Fax Number:

E-mail:

Click here if this address is the same as the company address

Address:

City:

Province:

Postal Code:

Student 3 Information (if applicable)

First Name:

Last Name:

Job Title:

Phone Number:

Fax Number:

E-mail:

Click here if this address is the same as the company address

Address:

City:

Province:

Postal Code:

Student 4 Information (if applicable)

First Name:

Last Name:

Job Title:

Phone Number:

Fax Number:

E-mail:

Click here if this address is the same as the company address

Address:

City:

Province:

Postal Code:

Payment

Check
Submit this form and mail a printed copy with a check to:

Hands On Technology Transfer, Inc.
One Village Square, Suite 8
Chelmsford, MA 01824

Credit Card
Please call us at 978-250-4299 if you're paying with a credit card. We accept Master Card, American Express, Discover, and VISA.

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Multiple Training Locations - Convenience and Cost Control

Regularly Scheduled Courses in 11 Cities Across Canada