PCS TRAINING REGISTRATION FORM

COMPLETED REGISTRATION FORM MUST BE RECEIVED 14 DAYS PRIOR TO SCHELUDED CLASS.

NAME:____________________________________________________________________..

TITLE:____________________________________________________________________.

COMPANY:_________________________________________________________________.

BUSINESS ADDRESS 1:_________________________________________________________________________.

BUSINESS ADDRESS 2:_________________________________________________________________________.

PHONE NUMBER:__________________________________________________________________.

EMAIL ADDRESS:___________________________________________________________.

COURSE TITLE:_____________________________________________________________________.

DATE OF COURSE:__________________________________________________________________.

COURSE LOCATION:_________________________________________________________________.

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PAYMENT OPTIONS

VISA/MasterCard/Discover/AMEX

NAME AS APPEARS ON CARD:_____________________________________________________________________

CARD NUMBER:__________________________________________________________________

EXP DATE:__________________________________________CVV:_______________________

SIGNATURE:________________________________________________________________

CHECK ENCLOSED: YES / NO CHECK #___:______________________

WAYS TO REGISTER

By Phone: (404) 904-5680

By MAIL: 2300 Lakeview Parkway, Suite 700, Alpharetta Georgia 30009, USA

By EMAILTO: sales@pcscomplete.com

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CANCELLATION POLICY

PCS offers free cancellations or rescheduling with a complete refund 15 days or more prior to scheduled event. Cancellations 14 days or less prior to scheduled event receive a 75% refund, or receive a rescheduling fee of $50.00. PCS reserves the right to cancell any and all training dates, and assumes no responsibility for monies spent or incurred by customer due to cancellation. If course is cancelled by PCS, customer will receive a full refund, or rescheduled at no cost. Submitting a payment states that customer has read and agrees to PCS Terms, Conditions, & Policies. CANCELLATIONS & RESCHEDULING MUST BE SUBMITTED BY EMAIL to: gary@pcscomplete.com

PCS TRAINING REGISTRATION FORM

COMPLETED REGISTRATION FORM MUST BE RECEIVED 14 DAYS PRIOR TO SCHELUDED CLASS.

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