Technical Training Registration Form

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Technical Training Registration Form
2016 Direct Fired Courses
INTERNATIONAL, INC.
Please select session:
AMT – AERCO Master Technician: 5 days, Blauvelt NY, $1450.00 with hotel OR $950.00 without hotel
ATT – AERCO Trained Technician: 4 days, Blauvelt NY, $1250.00 with hotel OR $850.00 without hotel
ATT – AERCO Trained Technician: 2 days, any Regional Training Center, $850.00 with hotel OR $650.00 without hotel
ProtoNode: 2 days, Blauvelt NY, $625.00 with hotel OR $425.00 without hotel
Multi Fuel Condensing (MFC): 2 days, Blauvelt NY, $625.00 with hotel OR $425.00 without hotel
DBS – Design, Build and Service Solutions: 2 days, Blauvelt NY, Free (attendees pay all travel and hotel costs)
Site Personnel – Benchmark Thousand Series, 1-1/2 days, Blauvelt NY, Free (attendees pay all travel and hotel costs)
Site Personnel – Innovation, 1-1/2 days, Blauvelt NY, Free (attendees pay all travel and hotel costs)
Site Personnel – Modulex, 1-1/2 days, Blauvelt NY, Free (attendees pay all travel and hotel costs)
Site Personnel – Benchmark 6000, 1 day, Blauvelt NY, Free (attendees pay all travel and hotel costs)
Site Personnel – Legacy Benchmark + KC1000, 1-1/2 days, Blauvelt NY, Free (attendees pay all travel and hotel costs)
Submit this completed form to your local AERCO sales representative for processing.
You can find your rep using a zip code locator our website at: www.aerco.com
Upon receipt of this form and payment, you will receive confirmation of your reservation.
No reservations or confirmation will be made until payment is received.
Name of Attendee
Accommodations
1.
Hotel
No Hotel
2.
Hotel
No Hotel
Authorizing Person or Supervisor
Payment Information
Payment must be by check or credit card only. Purchase orders will
not be accepted. Class confirmation and hotel arrangements will not
be made until payment has been received.
Primary Contact
Check or Money Order Enclosed (payable to AERCO Technical
Training and include Acct #626.01)
E-Mail
(
Credit Card
)
MasterCard
Visa
American Express
Phone
(
Class Start Date
)
Fax
Card Number
Expiration Date:
Company Name
Street Address
City
Name on Card
State
Zip
Signature
AERCO Rep/Sponsor:
Name
Firm
Date
Sponsor, please email this completed form to Training@aerco.com or fax to (845) 580-8090 ATTN: Shannon
/
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