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Miran SapphlRE Web-Based Service Training Registration Form 2008

Please enter your registration and payment information to register a class of your choice.
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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

 

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Credit Card Number:

(No dashes or spaces)

 

 

Expiration Date: