REGISTRATION INFORMATION

REGISTRATION REGISTRATION INFORMATIONINFORMATION

Location: ENVIROCON TRAINING ENVIROCON TRAINING CENTERCENTER

4343 St. Mary’s 4343 St. Mary’s Church Rd.Church Rd.

Wilson, NC 27895Wilson, NC 27895 Please enter the course and date

selected

Course __________________Course __________________ Date __________________Date __________________ Fee __________________Fee __________________

Two easy ways to register: By PHONE By FAXBy PHONE By FAX

252-291-4618 252-291-6224 252-291-4618 252-291-6224

ENVIROCON reserves the right to ENVIROCON reserves the right to

cancel classes.cancel classes.

Please print or typePlease print or type:MrMs ________________________________________

NameNameCompany__________________________________Telephone_________________________________Purchase Order # _________________________

Hotel Reservations:Hotel Reservations:We have made arrangements with the Holiday Inn Express on Montgomery Dr. in Wilson for corp. rates. Call 246-1588 for reservations.

Cancellations Policy:Cancellations Policy:Cancellations greater than 32 days before the Cancellations greater than 32 days before the class 100% Refundclass 100% RefundCancellations between 31 days and 14 days Cancellations between 31 days and 14 days before the class 50% Refundbefore the class 50% RefundCancellations between 13 days and class date Cancellations between 13 days and class date or “No Shows” will be charge 100% of the or “No Shows” will be charge 100% of the course feecourse fee

Payment InformationPayment Information:Written Purchase order can be used for registration

Make check payable to: Envirocon, IncEnvirocon, Inc.

Registration form must be received no later Registration form must be received no later than 30 days before the class start date.than 30 days before the class start date.