Factory Maintenance Training School
Enrollment Form

Attendee Name:
Company Name:
Mailing Address:
City:
State:
Country:
Zip Code:
Phone Number:
Fax Number:
E-Mail Address:
Model #:
Serial #:
Manager Name:

Attending	Date
Advanced
Distributor
Hotel information needed

Invoice	Purchase Order#
Cash/Check
Check	Check #

Submit your enrollment form as soon as possible because class size is limited and the demand for attendance is high.

We do maintain a waiting list of participants who want to attend courses. It is critical that you notify us at least a week in advance, if you are not going to attend a class. This advance notice will give some other potential attendee the time to make travel arrangements to attend.

There is a $150. fee for participants who enroll in a course and do not notify us a week in advance that they are not going to show up for the course.

Note: Content and sequence of agenda subject to change without notice.