Registration Form:Introduction to Pyrometry

Registration Form:Introduction to Pyrometry

Please duplicate for each individual attending.To register for this course, please complete the following and send to:

Riki Tang PHONE:+ 86 10 6461 9807

PRI Asia Office (China) FAX: +86 10 6467 3087

EMAIL:

*Attendee Name: ______

(P (Please type your name as you would like it to appear on your training certificate)

Title:

*Company/ ______

Organization(Please provide the info in English, we will release the invoice accordingly)

Address __

(Please provide the info in English, we will release the invoice accordingly)

City State

Country ______Postal Code

Phone Fax

E-mail

(Please include email address so we may send you confirmation of enrollment)

Registration Fee: US$450.00, fee includes all course materials, lunch, and a certificate of completion.

[ ] Taiwan (金属工业研究发展中心大礼堂, 高雄市楠梓区81160高楠公路1001号, 台湾)
June 23, 20101:30pm-5:30pm
June 24, 2010 8:00am-5:00pm
June 25, 2010 8:00am-5:00pm

Payment: We must receive payment PRIOR to the course date

[ ]I have enclosed a check in the full amount of $ .

[ ]Bill my credit card: [ ] Visa[ ] MasterCard [ ] Amex

Card # ____

Exp. Date: _

Signature: ______

[ ]International Wire Transfer - use the following details:

Sun Trust Bank, 1445 New York Ave NW, WashingtonDC20005-2108,

Account #1000043229334,

Beneficiary - Performance Review Institute, ABA # 061000104,

Swift Code – SNTRUS3A.

[ ]If you have a disability requiring special consideration, check this box. We will contact you.

[ ]If you have special dietary requirements, check this box. We will contact you to determine your

needs.

Registrations canceled 14 or more business days prior to the scheduled class will receive a refund for the amount of the class minus a $50.00 administrative fee. Registrations canceled less than 14 business days prior to the scheduled class, as well as registrants who do not attend, will forfeit the entire registration fee. Credit for future/subsequent classes may be given at the discretion of PRI. Substitutions for registrants unable to attend may be made with one business day notice.