欢迎 客户来自 China, PR
登录 更改国家
  0 项目
搜索:
   产品配置


Miran SapphlRE Web-Based Service Training Registration Form 2008

Please enter your registration and payment information to register a class of your choice.
(* Fields Must be Filled Out).

Fill out your contact information.*

*First Name

*Last Name

Title

*Organization

Division/Dept.

*Address

Address

*City

State/Province

Postal Code

*Country

*Telephone

Fax

*Email


Comments

Class Information:

Please select class choice and fill in payment information below:

?

Course Title:

MIRAN Sapphire Web Based User Training Course, One Web Seat (includes ThermoMatch software training immediately after basic training)

?

Registration Deadline is 48 hours before the scheduled class

?

Course Time: (11:30am-1:00pm EST)

?

?April 7th, 2008

?May 12th, 2008

?June 9th, 2008

?

A $295 fee applies for these courses

?

Payment Type:

?

If the course has?been pre-paid with a previous purchase of a?Miran Sapphire product enter Customer Order Number (CO#) in the box below:

?

Billing?Information:

PO #

?

?

Card Type:

Mastercard

?

VISA

?

American Express

Name on Card:

Credit Card Number:

(No dashes or spaces)

?

?

Expiration Date:

?

?

?

?