REGISTRATION FORM
SHORT COURSE IN PUMPS

December 11-13, 2018

 

Whittier, CA

 

   
   

For your convenience, you may enroll by phone at (510)384-8655, by email at sales@volkassociates.com, or by fax at 866-210-9048.

Company__________________________________________________________________________

Address_______________________________  City________________  State_____  Zip________

Phone No.____________________  Fax No.____________________  E-Mail__________________

Please enroll us in the following Short Course in Pumps:

December 11-13, 2018      Whittier, CA ______

 

                   

Name_____________________________________  Title__________________________________

Name_____________________________________  Title__________________________________

Name_____________________________________  Title__________________________________

Fees are payable in advance to Volk & Associates, Inc., by check, credit card, or P.O.

___ Check enclosed ($1495)

___ Credit:  __Visa    __MC    __AMEX    Card #___________________  Exp.____   CCV___   Zip______

___ Bill us, Purchase Order number __________________________

Volk & Associates reserves the right to cancel a course if minimum enrollment has not been reached.  In case of cancellation of a course by Volk & Associates, a full refund of fees will be made. You may cancel your registration up to 30 business days before the seminar. Your registration fee will be refunded less a cancellation fee. If you need to cancel less than 30 business days prior to the seminar, you may (1) send a substitute from your organization or (2) transfer your registration fee within 12 months to another seminar or conference of your choice. Please note that if you do not cancel and do not attend, you are still responsible for payment. Substitutions may be made at any time.

VOLK & ASSOCIATES, INC.
Oakland, CA 
(510)384-8655
(866)210-9048 FAX
www.volkassociates.com
info@volkassociates.com