Product Training Center
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Course Registration Request Form
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Instructions
Please complete a Course Registration Request Form. Completing a Registration Request Form does not guarantee course registration. Course registration is finilized upon receipt of a Confirmation letter. A Confirmation letter will be e-mailed unless otherwise requested. Note: If you have difficulties registering please contact the appropriate
Training Location
for assistance.
Fields marked with an asterisk (*) are required.
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Company Information
*
Requestor
*
Company Name
*
Street Address
*
City
State/Province
Postal/Zip Code
*
Country
--Select one--
United States
Afghanistan
Albania
Algeria
Amer
Andorra
Angola
Anguilla
Antarctica
Antigua/Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bharain
Bhutan
Bolivia
Bosnia-Herz.
Botswana
Bouvet
Brazil
Brit.Ind.Oc.Ter
Brit.Virgin Is
Brunei Dar-es-S
Bulgaria
Burkina-Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central Afr. Rep
Chad Chile
China
Christmas Island
Coconut Islands
Colombia
Comoro
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Rep.
Dutch Antilles
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guin
Eritrea
Estonia
Ethiopia
Faeroe
Falkland Isles
Fiji
Finland
France
French
Frenc. Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti Heard/McDon.Isl
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Island
Islands
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kirghistan
Kiribati
Korea
Kuwait
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mariana Islnd
Marshall Islnds
Martinique
Mauretania
Mauritius
Mayotte
Mexico
Micronesia
Minor Outl. Isl.
Moldavia
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar N.
Namibia
Nauru
Nepal
Netherlands
New
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk
North
Norway
Oman
Pakistan
Palau
Panama
Pap.
Paraguay
Peru
Philippines
Pitcairn Isles
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda S.
San Marino
Sandwich Ins
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
St Kitts&Nevis
Stateless
St. Helena
St. Lucia
St. Pier Miquel.
St. Vincent
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
S.Tome Principe Samoa American
Tadzhikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau Islands
Tonga Trinidad Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos
Tuvalu
Uganda
Ukraine
United Kingdom
Uruguay
Utd. Arab. Emir.
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Is.
Wallis Futuna
Western Samoa
White Russia
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Other
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Phone Number
Extension:
Fax Number
E-mail Address
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Student Data
* Given (First) Name
* Family (Last) Name
Student e-mail address
Student 1
Student 2
Student 3
Student 4
Student 5
Student 6
Student 7
Student 8
Student 9
Student 10
*
Interpreter Required?
(Interpreter will be provided for
$300 per day)
Yes
No
If yes, which Language
-Select one-
Chinese
Deutsch
French
German
Other - Specify
Portuguese
Spanish
Other language
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Registration Information (Based on course availability)
*
Course / Class ID
15712
19589
19649
20027
20463
20689
20719
20745
20787
20795
20820
20830
20837
20841
20842
20843
20844
20845
20846
20847
20848
20849
20850
20851
20852
20853
20854
20855
20856
20857
20858
20859
20860
20861
20862
Please view
Course Schedules
for information on the Class ID for your selected course.
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Course Description
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Available Seats
Entry not found in index
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Training Start Date
Entry not found in index
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Course Location
Entry not found in index
Wait list if class is not available?
Yes
No
Note: Customers registering for a Level 2 class please note course prerequisites.
Payment Information
* Please select the payment method:
Purchase Order Number
P.O. Number:
Note: Please fax a copy of your Purchase Order created for training tuition to the appropriate
Training Location
Check Number
Check Number:
Available Training Dollars
Included with machine order
Machine Order Number:
Note: Machine Order Number needs to be entered if course is included with the machine order.
Credit Card
Please Contact the appropriate
Training Location
Universal incurs substantial costs in reserving your seat in a course. If you need to cancel your training class(es), please provide two-weeks notice to avoid incurring cancellation fees. Cancellations received within two-weeks will forfeit 50% of the tuition cost. Cancellations received within one week will forfeit 100% of the tuition cost. Also no shows on the starting day of the class will forfeit the entire tuition cost.
If Universal cancels a course, enrollees will be notified at least two weeks prior to the course start date. The class will be rescheduled or your tuition will be refunded.
Note: Standard Universal Terms and Conditions of Sale apply and are contingent upon approval of Buyers Credit by Seller.