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:
2 Day Workshop
Level I Class
Select Date:
February
February
Class or Date not listed:
Multiple Attendee Note:
Early Bird Coupon Above Good Till February 2, 2010. After Feb. 2, 10% off second person from same company and/or $1295.00 per person is the tuition.
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.
Payment Method:
Credit Card
Check
Money Order
Purchase Order (PO)
Purchase Order #:
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