Please Complete the Following Editable Table with the Required Information
Z-SCoRE Online Workshop Registration / Fillable Form
[Please enter the required data in the grey shaded fields. You can also print out the file and complete it manually.]
Online Workshop Fee: US$ 250.00
(4 x 1.0 hour = 4 hours live instructed online training including course materials)
ADDLessons Recording Fee $US 50.00 (optional)
Name and Title:
(for certificate)
Address:
City: / Zip Code:
State / Province: / Country:
Tel #: / Fax #:
Mobile #:
E-mail:
Type of Course: / INTRODUCTION TO BIOGRAPH / SUITE NAME: / Z-Score
DATE/TIME:
Payment Information**
Type of Credit Card: / VISA / MasterCard / American Express
Credit Card #: / (4x4 digits) / Expiry date (MM/YY): / MM010203040506070809101112 / YY06070809101112131415
Name of Card Holder:
I herewith confirm my intention to attend the specified online workshop and my entitlement for using the credit card above (please tick).
I agree to pay the additional US$50.00 Lesson Recording Fee and herewith give TTL permission to record and retain the 4 online lessons (please tick if desired).
All online recordings and online course content are the property of Thought Technology Ltd. and is for registrant personal use only, not for commercial purposes and any external distribution. Any other uses of the online recordings must have prior approval from the online instructor and written consent by Thought Technology Ltd.
Signature of Card Holder (only if faxed):
**Please note that registration is valid only when full payment is received!
Please either save this registration form and send it as attachment to OR
print it and fax it to(514) 489-8255to complete your registration.
Thank you for registering! You will soon receive further information via email.
Thought Technology Ltd. and your course instructor welcome you in our online workshop!For more information or to register via telephone:
Workshop Coordinator
Thought Technology Ltd.
8205 Montréal-Toronto Blvd, Suite 223
Montréal West, QC, CanadaH4X1N1 / Tel: 1-800-361-3651 ext. 135
Tel: (514) 489-8251 ext. 135 Fax: (514) 489-8255
E-mail:
Internet:
Cancellation Policy: Cancellations must be received in writing if requested prior to 1 week before the course date. You will receive credit towards a future course minus an administration fee of US$ 50. Cancellations after this date forfeit registration fee. Thought Technology Ltd. reserves the right to cancel the course with full refund. Expiration Date for registration of all online courses is 1 year from purchase date.
Online Workshop Registration FormMAR941-03