REGISTRATION FORM

 

You may fill out this form and submit it electronically by pressing the "Submit" button at the bottom of the form. Or, if you prefer, you may print this form and either mail it or fax it to the address or fax number listed below the form.

Family Name:      Given Name(s): 

Company: 

Company Address: 

City:      State:     Zip:

Country: 

Business Phone:  Country Code: Number:  Ext: 

Fax: Country Code: Number: 

E-Mail: 

COURSE NAME: 

COURSE DATE: 

COURSE LOCATION: 

By mail to:

Atwell International Consultants
P.O.Box 2984,
ORMOND BEACH,
Florida. USA 32176
 
By Fax to: (386) 441- 6052

For additional information, or to register by telephone: (386) 441- 8305
PAYMENT INSTRUCTIONS AND CONFIRMATION NOTICE WILL BE SENT BY e-MAIL OR BY FAX THREE WEEKS PRIOR TO THE FIRST DAY OF THE CLASS. IF A COURSE IS CANCELLED FOR ANY REASON, THOSE ENROLLED WILL BE GIVEN THE OPTION OF RECEIVING A REFUND OR A CREDIT TOWARDS A FUTURE CLASS.
Substitution and Cancellation Policy:

Cancellation must be made in writing to Atwell Consultants at least two weeks before a course begins to receive full tuition refund less a $50 processing fee. No refunds will be made after this deadline. Substitutions may be made at any time without penalty.