HITE Engineering Corporation Consulting Engineers

HITE Engineering Corp. Consulting Engineers
Course Registration Form

Step #1 - Select your course and the date.

*Course Name:

*Course Date:

Step #2 - Please provide your personal information.

*Salutation:

*First Name:

*Last Name:

*Company/Organization:

*Address 1:

Address 2:

*City:

*Province:

*Postal Code:

*Phone (Business)

area code + 7 digit phone number

Fax (Business)

area code + 7 digit fax number

Other Phone
(Please supply an alternate phone number in case of changes)

area code + 7 digit phone number

*Email Address

*Select your business type

*Number of Employees

*How did you hear
about us?

Step #3 - Please select your payment option.

Credit Card

Please select one of the following options to submit your credit card information:

	I will call in my credit card information by telephone.
	I will fax or mail my credit card information with a printed copy of this completed registration form.

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Cheque/Money Order

I will mail my cheque or money order with a printed copy of this completed registration form to the address below..

Bill Me or FREE seminar

I will attach a copy of my purchase order # to a printed copy of this completed registration form and fax or mail it to the address below.

Step #4 - Print this completed form using the your browser's "Print" button or by pressing CTRL + P (PC) or Command + P (Macintosh) and then send the printed completed form with your payment to the address below.

Step #5 - Submit your registration information to hold your reservation until we receive your payment.

After printing, please complete the following to fax or mail credit card information:

Card Type: VISA MasterCard American Express

Account #: _______________________________________________

Expiry Date: ____/____

Card Holder's Name: ________________________________________

Simply call in your credit card information by telephone.
(Please note that it is not necessary to mail or fax this form if you are confirming by telephone.)

Send your printed Registration Form and payment to:

HITE Engineering Corporation Consulting Engineers,
2660 Meadowvale Blvd., Unit #2,
Mississauga ON L5N 6M6.

Fax: (905) 812-3710
Telephone: (905) 812-3709 Toll Free 1-877-360-0015