2014 registrationform

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2014 TRADITIONAL
COMMERCIAL
CONTINUING EDUCATION
Dates:
Location:
Prince Conference Center, Calvin College
1800 East Beltline NE
Grand Rapids MI 49546
May 2, 2014 or October 29, 2014
Time:
Registration: 7:30 a.m.
Class: 8:00 a.m. - 1:45 p.m.
LUNCH IS PROVIDED
Instructor:
Bill Schlecte,
Professional Learning Network
Required:
Registrants must present their Pocket Card
at registration desk.
Questions:
Shari Veldman, shariv@carwm.com
Cancellation Policy:
Cancellation/Refund Policy: Full refunds will be given for
requests received two weeks before the class date. Refund
requests received between one and two weeks before the
class date are subject to a $10 processing fee. No refunds will
be given for requests received within one week of the class
date. CAR reserves the right to cancel this class if fewer than
44 students pre-register.
REGISTRATION FORM
NAME: _______________________________________ OFFICE PHONE: (____) ___________________
(as it appears on your license)
COMPANY NAME:______________________________FAX NUMBER: (____) _____________________
ADDRESS:____________________________________CITY: ____________________ZIP: ___________
E-MAIL ADDRESS: ___________________________LICENSE ID# (for Con. Ed. Credit)______________________
Last Four Digits of Social Security # (for Con Ed. Credit) _______________________
Class Date:
COST: CAR Member - $65
CAR Member Walk-In - $80
Non CAR Member - $80
Non CAR Member Walk In - $95
___ Cash or ___Check Payable to CAR
___ Credit Card:
□ MasterCard
___________ May 1, 2008
______Charge CAR Account
□Visa
□Discover
___________ October 29, 2008
□American Express
Card Number:________________________________________________ Sec. Code _______
Expiration Date: ________________ Signature: ______________________________________________
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