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WELCOME TO BECKER LEARNING

Registration:  Please fill out this form for each person attending, and mail along with a Check or Purchase Order (made out to ‘Becker Learning’) to: Becker Learning / 5980 Sheppard Road / Dansville, NY 14437    2008 Courses:            1.  [  ] Systems        2. [  ] Refrigeration        3. [  ] Energy Eff. Design (check all that apply)             4. [  ] Product          5. [  ] Airside-I               6. [  ] Airside-II   2009 Courses:            1.  [  ] Systems        2. [  ] Refrigeration        3. [  ] Energy Eff. Design (check all that apply)             4. [  ] Product-I    5. [  ] Product-II    6. [ ] Airside-I    7. [  ] Airside-II     Name:_____________________________________________________   . Title: _____________________________________________________   Company: __________________________________________________                                                                                      Address: __________________________________________________   Phone:(        )                                       Email: # of Courses $/course Total Cost $ Check #   or   PO #   $1,000      Authorizing Person Printed Name Signature Date       ***If a PO is given, full payment must be received prior to the first day of class. Cancellation Policy: If someone cancels 60-days prior to the start of the class => no cancellation charge. If someone cancels 30-60 days prior to the start of class => 50% cancellation charge If someone cancels less than 2-weeks before the start of class, or simply doesn’t show up => charged the full amount Contact: Joe@BeckerLearning.com