Registration Form

TO REGISTER, PLEASE COMPLETE IN BLOCK LETTERS AND
RETURN TO THE GENETEC TRAINING DEPARTMENT:
r / Genetec Inc.
2280 Alfred-Nobel, Suite 400
St-Laurent, QC H4S 2A4
Tel: (514) 332-4000
Fax: (514) 332-1692
E-Mail:

Section 1 – Contact Information

Mr. Ms

Last Name: / First Name:
Title:
Company:
Address :
City: / Province / State:
Country: / Postal / Zip Code:
Phone:() - x / Fax:() -
Email address: / Participating in the course: YES NO
SMA Contract No. (optional):

Section 2 – Registration (if other than above) –

Mr. Ms

Last Name: / First Name:
Title:
Company:
Address :
City: / Province / State:
Country: / Postal / Zip Code:
Phone:() - x / Fax:() -
Email address:

Mr. Ms

Last Name: / First Name:
Title:
Company:
Address :
City: / Province / State:
Country: / Postal / Zip Code:
Phone:() - x / Fax:() -
Email address:

Section 3 – Course Description and Pre-requisites

Course Title / Course Code / Number of days / *Pre-Requisites
Certification Courses:
Security Center 5.x Omnicast (Video) Technical Certification / SC-OTC-001 / 2 days / N/A
Security Center 5.x Synergis (Access Control) Technical Certification / SC-STC-001 / 3 days / N/A
Security Center 5.x Enterprise (Advanced) Technical Certification / SC-ETC-001 / 2 days / Successful completion of SC-OTC-001 and/or
SC-STC-001

Section 4 – Registration Fee

Course Code / Price
SC-OTC-001 + SC-STC-001 / $1500.00
SC-OTC-001 + SC-ETC-001 / $1250.00

All pricing is in US per person, plus applicable taxes.The course includes training material, lunch and coffee breaks. *Please plan to bring a laptop as these will not be provided*. Please see minimum Computer requirements below.

*Please note payment must accompany the registration form. If payment has not been received within two weeks of submitting the form, the participant’s spot will be released from the roster and the participant will receive an email informing them of their removalfrom the course.

Section 5 – Cancellation and Refund Policy

Cancellation BY PARTICIPANT:
Genetec training fees are non-refundable however any cancellation up to 2 weeks prior to the beginning of the course will entitle the participant to a 100% credit towards a future training session. Any rescheduling or cancellation within 2 weeks prior to the training will be subject to a $250.00 administration fee per person. Please note this fee is still applicable even if payment has not been made at the point of cancellation. Substitutions of participants are accepted without any additional charges. Any cancellation must be confirmed in writing and sent by e-mail.

Cancellation BY GENETEC:
Genetec reserves the right to cancel a course 2 weeks prior to the course date if there is insufficient enrollment. As soon as the decision is made, Genetec will inform all participants of the cancellation. Participants can then choose another course to attend or request a full credit to be applied to a future training session.

Section 6 – Course Schedule* – Brazil

Choose / Title / Code / Dates* / Language / Location / TRA#
Security Center – Omnicast Tech. Cert. 5.2 / SC-OTC-001 / July 5-6 / Portuguese / Sao Paulo / 1274
Security Center – Enterprise Tech. Cert. 5.2 / SC-ETC-001 / July 7-8
Security Center – Omnicast Tech. Cert. 5.2 / SC-OTC-001 / Aug 16-17 / Portuguese / Sao Paulo / 1279
Security Center – Enterprise Tech. Cert. 5.2 / SC-ETC-001 / Aug 18-19
Security Center – Omnicast Tech. Cert. 5.2 / SC-OTC-001 / Oct 18-19 / Portuguese / Sao Paulo / 1285
Security Center – Enterprise Tech. Cert. 5.2 / SC-ETC-001 / Oct 20-21
Security Center – Omnicast Tech. Cert. 5.2 / SC-OTC-001 / Dec 13-14 / Portuguese / Sao Paulo / 1287
Security Center –Enterprise Tech. Cert. 5.2 / SC-ETC-001 / Dec 15-16

*Registration period closes 2 weeks prior the beginning of training. No applications will be accepted beyond this point.

Section 7- Method of payment

Credit Card

Payment can be made by Visa or MasterCard (AmericanExpress not accepted).

VISA MasterCard

Credit Card # Expiry date:

Name of Cardholder:

______

Authorized SignatureMonth/Day/Year

*Please note that effective January 1st 2015, a 3.5% fee will be applied for payments by credit card.

Wire Bank Transfer - A proforma invoice will be emailed to you with our wire transfer details.

Purchase Order – *Copy of Purchase Order must accompany registration form*

*To be eligible for payment by purchase order, your company must have payment terms pre-established with Genetec. No purchase orders will be accepted from companies who do not have payment terms with Genetec.

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