ULTRA-SOUND TECHNOLOGIES
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UST Airborne Training Registration
Please use this form to register for one of our Airborne Ultrasound Certification classes.
You may also download a Registration Form below. (edited: 12/10/2009)
Contact information:
First name:
Last name:
Company:
Title:
Phone:
Fax:
Email address:
Mailing address:
Select Class:
Level I or Two Day
2 Day Workshop
Level I Class
Level II Class
Select Date:
Sept 7-8, 2010
Sept 28-30, 2010
Oct 12-14, 2010
Oct 26-28, 2010
Nov 16-19, 2010
Class or Date not listed:
After Early Bird Registrations Date: Two Day Wkshop $895.00, Level I $1295.00, Level II $1595.00
Multiple Attendee Note:
Save 10% for every person from the same company, After first person pays full price.
Number of Attendees:
1
2
3
4
5
6
7
8
9
10
Payment Note:
If you pay by credit card, call me at least 10 days in advance with CC Information. Payments due at registration.
Payment Method:
Credit Card
Check
Money Order
Purchase Order (PO)
Purchase Order #:
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