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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:_____________________________________________________  

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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