DRY DOCK CONFERENCE/ADVANCED TRAINING FORUM

PROCEEDINGS ORDER FORM


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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 available at www.drydocktraining.com.

          Name/Title:   _________________________________________________

          Organization: _________________________________________________

          Address:   ____________________________________________________

                             ___________________________________________________

                             ___________________________________________________

          Office Phone: _________________________________________________

          Mobile Phone: ________________________________________________

          E-mail: _____________________________________________________

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      FEE (US dollars):
       $100.00-Proceedings for 2004 Dry Dock Conference/Advanced Training Forum.
       $100.00-Proceedings for 2006 Dry Dock Conference/Advanced Training Forum.
       $100.00-Proceedings for 2008 Dry Dock Conference/Advanced Training Forum.
       $100.00-Proceedings for 2011 Dry Dock Conference/Advanced Training Forum.
       $100.00-Proceedings for 2014 Dry Dock Conference/Advanced Training Forum.
       $200.00-Proceedings for 2017 Dry Dock Conference/Advanced Training Forum.
(Proceedings for the 2000, 2001 and 2003 Dry Dock Conference/Advanced Training Forums are not available.)

     Optional online credit card payment 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.

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

     __________________________________________________________________

     __________________________________________________________________

     __________________________________________________________________