Instant Course Registration

Solution Graphics
Design for Testability and for Built-In Self Test
Select Venue
Enter your Name, Company
Your email Address, Phone

Course Reservation Form and Other Payment Method
Print and FAX to: 310-305-7703

Use this form to reserve places in the course or use a different method of payment.
You may register several attendees to the same course, but to register or reserve another course, you need to submit this page for each course and return to this page for other courses.

Course Name*:

Course Dates: Location:

Who will Attend?
Attendees from: Company*: City*:
1st Attendee Name: First Name*: MI: Last Name*: Phone* and Ext: email address*:
2nd Attendee Name***: First Name: MI: Last Name:
Phone and Ext: email address:
3rd Attendee Name***: First Name: MI: Last Name:
Phone and Ext: email address:
4th Attendee Name***: First Name: MI: Last Name:
Phone and Ext: email address:
5th Attendee Name***: First Name: MI: Last Name:
Phone and Ext: email address:
How Many others are Attending***:

Who is Making the Registration or Reservation**?
Person Making the Reservation or Registration First Name*: MI: Last Name*:   Company*:
Mail Stop:
Address*: 
City*: State: Zip: County:
Phone* and Ext: FAX:
email address*:

Other Payment Method

We prefer payment to accompany registration form. Please check below your preference:
Check    Purchase Order No:   Other  

Total* (US$):

Feel Free to Contact us:
A.T.E. Solutions, Inc.
8939 S. Sepulveda Blvd., Suite 110-779
Los Angeles, CA 90045
Phone: 310-822-5231, FAX: 310-305-7703
email: education@BestTest.com  web: www.BestTest.com

* This information is required for your reservation or registration to be considered valid

* When this form is submitted without payment information, it will automatically be considered a "Reservation" rather than a "Registration."  Unless we contact you and tell you otherwise, you can assume that a "Reservation" will hold your place for a maximum of 10 days.  All Reservations expire one week before the course starting date.  See our Refund Policy.

*** We generally provide substantial discounts for multiple attendees from the same company and for early paid registrations.

If you are NOT using Instant Course Registration, remember to Print and FAX this form to: 310-305-7703

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