Training @ Electronic Tech, Inc. ~ Industrial Electronic Repair

www.ElectronicTechInc.com

Serving you with your customers in mind

Electronic Tech, Inc. Registration Form

Space is limited to only a number of students. To ensure space and confirm enrollment, payment will have to be made two weeks prior to class first date.
Course Date:
Contact Information
Contact Name:
Contact Phone:
Contact Fax:
Contact Email:
Company Information
Company Name:
Street Address:
City:
State/Province:
Zip/Postal Code:
Student Information
Student Name:
Title/Position:
Student email:

Method of Payment
Pay by Check Pay by Purchase Order Number (Company will be billed immediately) Pay Credit Card (Will contact to get information) Visa MasterCard American Express

Cancellation Policy:

Cancellations prior to two weeks of class first date are allowed without any penalty fees. Any cancellations within 2 weeks of class first date, will incur a 50% penalty fee. Email registration back to sales@electronictechinc.com or Fax back to 704-825-8939

Customer Service

PH: 704-825-8918 | Fax: 707-825-8939

info@electronictechinc.com

Electronic Tech, Inc.
1500 River Drive Suite 302
Belmont, NC 28012