DM CONSULTING DRY DOCK TRAINING REGISTRATION

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9-12 January 2018, San Diego, CA, USA

Seating is limited, so register early.

Return by e-mail (joe@drydocktraining.com), by fax (+1-858-538-5372) or by ground mail
(12316 Dormouse Rd, San Diego, CA 92129 USA). Online credit card payment and registration available at www.drydocktraining.com.


          Name/Title:   _________________________________________________

          Organization: _________________________________________________

          Address:   ____________________________________________________

                             ___________________________________________________

                             ___________________________________________________

          Office Phone: _________________________________________________

          Mobile Phone: ________________________________________________

          E-mail: _____________________________________________________

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     TRAINING FEE (US dollars):
         $1700.00 if payment is received at least one month prior to the training start date.
        $1800.00 if payment is received at least one week prior to the training start date.
        $1900.00 if payment is received less than one week before the training start date.
     Optional online credit card payment and registration available at www.drydocktraining.com.

     ___ Payment enclosed.      ___ Check. Make checks payable to DM Consulting.

     ___ Credit card.    Visa      MasterCard     AMEX    (circle one)

     Card holder name and phone ________________________________________

     Card number and Security Code ______________________________________

              Expiration date __________________________________________

     ___ Payment will be made by bank transfer. Send DM Consulting bank details.

     ___ Payment will be made at a later date, prior to the start of the training.

     
___ Bill my organization/me. The reference/purchase order number and invoice address is:

     __________________________________________________________________
     __________________________________________________________________
     __________________________________________________________________
         
      Confirmation of registration will be sent to all attendees.
     All payments are 100% refundable if you cannot attend the training.