Class Registration Form...

TechNet Training Centers Registration Form


Please complete the form below to submit your request. If you prefer to fax the form instead, please click here to download the form in an acrobat reader format. Must must have Adobe Reader to view the file. Adobe Reader 4.0 or later is required to view and print the form. If you do not have this software, here's how to download a free copy. 

 

First Name:
Last Name:    
Mailing Address: 
City, State, and Zip:  ,  ,  
Daytime Phone Number:
Fax Number: 
Email Address:
Social Security #: 
Company Name:
Company Phone #: 
Start Date:     (if known)
End Date:   (if known)
Payment Information:
Card Number:
Expiration Date:
Referral: Who referred you to TechNet Training Centers?  

 Other:
 

Tuition costs:

 (if known)
Course Name: 
Use the CTRL key to select multiple courses

Other:

Cancellation:  Cancellation must be made at least 14 days prior to the first day of the course.  Cancellation made less than 14 days prior to the first day of the training course will be charged 35% of the tuition fees.

Office #: 678-794-7313/Fax #:  770-409-0875

www.technettraining.com