Veejer Enterprises Electrical-Electronics Troubleshooting Workshops
Registration for 3-Day PHASES 1, 2, and 3 for March 2012
Workshop Hotel ($79.95/night) Reserve your room at the special Veejer rate.
:
Fairfield Inn, 9230 LBJ Fwy, Dallas, TX 75243
Phone # 972.437.9905
Check the dates you will attend.
__ Phase 1: March 19-21
--- __ Phase 2: March 22-24--- __ Phase 3: March 26-28

Tuition:
$895.00 per tech - Phase 1 (Lunch included 1st & 2nd class days)
$895.00 per tech - Phase 2 (Lunch included 1st & 2nd class days)
$995.00 per tech - Phase 3 (Lunch included all 3 days)

Yes___ I want to purchase a DMM and Current Clamp for $149.00 plus tax (Used in & SHORTCUTS)

CANCELLATION POLICY:
Cancellation policy: If you cancel a registration more than 10 days before the class begins you will receive a 75% refund. If you cancel within 10 days before the class begins you receive a 50% refund. If you cancel within 3 days of the class beginning, or fail to attend the class there is NO REFUND. You may substitute another tech for a paid seat any time.

3 Ways to Register:
(1) Print this form and Fax it to 972-276-8122
(2) Call Us at 800-694-1294 to register by phone
(3) Copy this form and mail to:
Veejer Enterprises, 3701 Lariat Lane, Garland, TX 75042-5419
Please do not mail checks to register if less than 10 days before the 1st class day.
(Please Print Clearly Below)

Names attending: ____________________________________________________________________________

Business Name: _____________________________________________________________________________

Business Address: __________________________________________________________________________

City: __________________________________________________________ State: ______ Zip: ____________

Bus. Phone: (_______) ________-___________________ Fax: (_______) ________-____________________

Home Phone: (_______) ________-__________________ Email: ____________________________________

UNSECURED WEB PAGE***FAX THIS FORM ONLY*** or CALL 800-694-1294 TO REGISTER
Card Name
                             Credit Card Number                   Expiration Date
  _________              ____________________________________     _______/________

Name on Credit Card: __________________________________________________________________________

Address credit card bill sent to: __________________________________________________________________
CVV2 Code: ______
(last 3 numbers in the signature box on the back of card)

Signature: __________________________________________