Course Registration/Reservation Form
Use this form to register or reserve your place in a course you want to attend.
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 Description (Find Course Name if Necessary)

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
*:

Payment Information

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

Credit Cards Accepted: Visa     MasterCard     

Total* (US$): For secure and immediate payment by credit card you may use our Online Store at http://www.atesolutionsinc.com/shop/ and place name of course in the Text Search Box.  

To Register by credit card, fill out below and FAX this form to 310-822-5231.  

Name as it appears on card: ____________________________________

Credit Card Number:___________________________________________

Expiration Date: ______________________________________________
 

Feel Free to Contact us:
A.T.E. Solutions, Inc.
400 Continental Blvd., 6th Floor
El Segundo, CA 90245
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.

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