Amtec Corporation - Training - Registration Form

After discussing your training needs with Amtec Corporation, you may submit this form to register for an Amtec Corporation Training Course, or you may submit the form and Amtec Corporation will contact you. Fields with a red * are required.

If you would prefer to print and fax the registration form

, it has been provided.

You may also download the latest version of Adobe® Acrobat®

*Name(s) of Attendees:
*Company/Organization/Affiliation:
*Address:
UPS Shipping Address:
*City:
*State:
*Zip:
*Telephone:
Fax:
*Email:
*Referred by:

*Course Title:
*Class Date:
*Length:
*Class Location:
*Number Registering:

Select a payment option:*

Credit Card (Visa, MC, Discover, or American Express)
Purchase Order (PO) or Training Form
Check
GSA Contract
Electronic Funds Transfer (EFT)
Other

Please call (256) 722-7200, ext 233 or
fax (256) 722-7212 (ATTN:Training)
to arrange payment details.

Provide or request additional information as needed:

Registration should be made at least 1 week prior to the training date. Cancellation, with full refund, must be done within 3 working days of the beginning class date. Registered individuals who fail to cancel in time, or to attend, are subject to the entire fee, but may attend a later class during a 1 year period without additional charge. Substitution for a registered individual may be requested by contacting Amtec Corporation. Amtec reserves the right to cancel training within 1 week of a scheduled class with full refund to registrants.

Amtec Corporation, 500 Wynn Drive, Suite 314, Huntsville, Alabama 35816 |
Phone (256) 722-7200 | Fax (256) 722-7212Phone (256) 722-7200 ext.233 | Fax (256) 722-7212 (ATTN: Training)
Email safety@amtec-corp.com