Registration Fall 2011 - Summer 2012 Seminars

Registration Information Entry Form (Step 1 of 3)

Note: Before beginning the registration process, please disable any Pop-Up Blocker you may be using (your Confirmation and Invoice are displayed in a pop-up window) and take a moment to review our Terms of Registration.

* Indicates information required to process your registration . . .

Enter Company and Administrative Contact Information:

* Email Address (invoice is sent here):

Note: If you have registered before, enter your Email Address above and click the "Load" button to recall your contact information (or just enter your contact information below).

* Primary Contact Name:

* Primary Contact Title:

* Company Name:

* Billing (Postal) Address:

Address (cont.):

* City:

* State/Province:

* Zip/Postal Code:

* Country (if not USA):

* Phone:

* Fax:

Purchase Order # (if required):

Select Seminar Location:

* Pick an Available Seminar Location:

Add students to your registration list (complete Steps 1 - 3 below for each student that you are registering):

* 1. Enter a student name:

* 2. Select seminar day(s) for the above student (use the Ctrl key on keyboard to make
multiple-day selections or to remove a selected day):

* 3. Click "Add the Above Student" button to add above student/seminar to your registration list:

(No students have been added to your registration list)

Enter any registration comments:

None

Apply a Tuition Credit Code (if you have one) to reduce your tuition:

See your Tuition Credit Notice for the required Tuition Credit Code and Email Address and enter them in the fields below (a Tuition Credit Code would be issued if you had to cancel a non-refundable seminar registration).

	Tuition Credit Code:
	Email Address:

Select a Payment Method:

* Select payment method for this location (for registrations submitted today, the Denver
Payment Due Date is Feb 10, 2012; your payment must be received by this date to secure any
available seats and discounts). Click here for details on the eCheck payment method.

Read and accept the Terms of Registration:

* I have read, and I accept, the Terms of Registration.

Calculate Tuition:

Click "Calculate Tuition" button to preview the pricing, discount, and credit details for your selections (you will have the option to edit/change any information and selections before actually purchasing your seats).

Important Notice: Increasingly restrictive government regulations are affecting the ability of legitimate businesses to communicate with each other via email and fax. In order to comply with such regulations, please understand that submission of the above form affirms your organization's consent to receive business communications sent via fax, mail and email by Earthwork Software Services. Please read our Privacy Promise below.

Privacy Promise: Earthwork Software Services will use the above information only to notify you about our AGTEK-related services. We dislike unsolicited email, junk faxes and junk mail as much as you do, so we will never give or sell your information to any third party. We also value your time and respect your privacy; therefore, if you ever wish to stop receiving our service announcements, please call, fax or email your wish to us and we will promptly remove you from our contact list.

Registration Fall 2011 - Summer 2012 Seminars

Registration Information Entry Form (Step 1 of 3)

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