Projections Consulting, Inc. Certification and Training Catalog - Catalog - Page 10
10
CLASS ENROLLMENT FORM
PHONE (757) 2209699 | FAX (866) 8347024 | EMAIL: info@projectionsconsulting.com
Course Title
Class Start Date
# Attendees
Course dates in this catalog are subject to change at any time due to scheduling conflicts. Call
(757) 2209699 to confirm dates. We confirm all registrations by email.
Student Information
For multiple students please submit a separate page with the following information for each student.
Name: _______________________________________________________________________
Email: _______________________________________________________________________
Company Name: _______________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: ________________________________________________________________
Phone:__________________________________
Cell:___________________________________
Payment Method: Check PO Number Credit Card
Account#___________________________________________________ Expiration________________ CID________
Name as it appears on card: ___________________________________________________
Visa Master Card AMEX
Bill To Address if different:
________________________________________________________________________________________
Signature Required:____________________________________________________ Date:
Thank you for registering.
♦Please arrive 10 minutes prior to your class time.
♦A picture ID may be required.
♦Please mute cell phones and electronic devices prior to class.