2018/2019Technical Training Registration Form

AMT – AERCO Master Technician: 5 days, Blauvelt, NY, $1450.00 with hotel OR $950.00 without hotel

ATT – AERCO Trained Technician: 4 days, Blauvelt, NY, $1250.00 with hotel OR $850.00 without hotel

ATT – AERCO Trained Technician: 3 days, any Regional Training Center, $1050.00 with hotel OR $750.00 without hotel

ProtoNode: 1 day, Blauvelt, NY, $350.00 with hotel OR $250.00 without hotel

Multi Fuel Condensing (MFC): 2 days, Blauvelt, NY, $625.00 with hotel OR $425.00 without hotel

AERCO EDGE Controller: 1/2 day (8:30-12:00pm), Blauvelt, NY, Free (attendees pay all travel and hotel costs)

AM Series Products: 1 day, Blauvelt, NY, Free (attendees pay all travel and hotel costs)

Site Personnel – Benchmark Thousand Series, 1-1/2 days, Blauvelt, NY, Free (attendees pay all travel and hotel costs)

Site Personnel – Innovation, 1-1/2 days, Blauvelt, NY, Free (attendees pay all travel and hotel costs)

Site Personnel – Modulex, 1-1/2 days, Blauvelt, NY, Free (attendees pay all travel and hotel costs)

Site Personnel – Benchmark 6000, 1 day, Blauvelt, NY, Free (attendees pay all travel and hotel costs)

Site Personnel – Legacy Benchmark + KC1000, 1-1/2 days, Blauvelt, NY, Free (attendees pay all travel and hotel costs)

Submit this completed form to your local AERCO sales representativefor processing.

You can find your rep using a zip code locator on our website at: to Buy” (upper right hand corner).

Notice of cancellation must be received at least 7 days prior to the scheduled class date in order to receive a refund.

Upon receipt of this form and payment, you will receive confirmation of your reservation.

No reservations or confirmation will be made until payment is received.

Name of Attendee / Accommodations / Class Start Date
Hotel No Hotel

Authorizing Person or Supervisor Payment Information

Payment must be by check or credit card only. Purchase orders will not be accepted. Class confirmation and hotel arrangements will not be made until payment has been received.
Primary Contact
Check or Money Order Enclosed (payable to AERCOTechnical Training and include Acct #6125-00-01-65-11)
E-Mail
() / Credit Card
By electing to pay electronically with a credit card, we will be sending you an email with a link to PayTrace.com. You will be guided through the process to complete your secure payment online. Once payment has been processed we will send a letter of confirmation.
Phone
()
Fax / It is mandatory that we have the payee’s current email address and contact number.
Company Name / Payee’s First/Last Name:______
Payee’s Phone Number:______
Payee’s Email Address:
Street Address
Please note that the PayTrace link has an expiration date. If the expiration date has expired and payment is not received, you will have to re-submit registration.
City StateZip

AERCO Rep/Sponsor:

NameFirmDate

Sponsor, please email this completed form r fax to (201) 781-6768 ATTN: Shannon