Subsurface Heat Management Workshop Registration Form

Training

Registration

Subsurface Heat Management Workshop

University of Phoenix, Bakersfield Training Center, 4900 California Ave

April 3 - 5, 2012 (8:00 am to 5:00 pm)

Registration deadline is 1 week prior to class. To register, please enter the information below, print the form and fax it to Integrated Sciences at 661-872-3669. If you are not comfortable faxing this information, please contact us at 1-661-872-1683.

Attendee Information:

Name:
Company:
Address:
City:
State or Province:
Country:	Postal Code:
Phone:
E-mail

Credit Card Payment Method: MasterCard Visa AMEX Discover

Card Holder Name:

Card # : Auth. Code: Exp. Date:

Check Payment: Please make checks payable to Integrated Sciences Group and mail to

Integrated Sciences Group

14608 Casitas Canyon Rd

Bakersfield, CA 93306

Registration Cost: $1,995.00 per Student Includes comprehensive course workbook, ResHeat 3.0 software, lunch and refreshments during class.

All prices are in US Dollars.

Thank you for your order!