J&G Technology 2010 Seminar Registration Form: Print this registration form, fill in the blanks and mail with payment. RESGISTER EARLY TO GUARANTEE A SEAT! Step 1 Select a Seminar from the Chart Below (Check course, circle date) Check Course Name Write in Date Cost _____ Basic SPC * $695 _____ Auditing to ISO/IEC 17025 * $695 _____ Understanding Measurement Uncertainty * $695 _____ Measurement & Calibration Overview * $595 _____ Troubleshooting Electronic Instrumentation * $695 _____ Certified Quality Technician Preparation (CQT) * $995 _____ Certified Calibration Technician Preparation (CCT) * $995 _____ Calculator Refresher for ASQ Exams * $195 _____ Certified Quality Engineer * $1495 _____ Certified Quality Inspector * $995 _____ Basic Dimensional Metrology * $995 _____ Basic Physical Metrology * $995 Step 2 Complete Personal Registration Please Print. Name: ________________________________________                Last                              First           Initial Address: ______________________________________ City/State/Zip: _________________________________ Business Name: _________________________________ Phone: _(           )________________________________ Email:  ________________________________________ Students will receive continental breakfast and seminar notebook. Step 3 Specify your payment method. We are now accepting credit card payments by phone. Call us for credit card payment:  952-935-1108 Payment (check one): ___ Check   (Make checks payable to:  J&G Technology)                                   ___ Purchase Order accompanied by payment                                    ___ Company  check                                   ___ Money Order                                  Signature: _______________________________________  Date ________________ 1. Registration must be received with payment  to assure a seat. 50% refund for cancellations     made after 3 weeks before start of class. No refunds after start of class. 2. Registrants may send another person in their place. 3. Full refunds will be issued if class is canceled due to low enrollment or any other reason. 4. Location depends on class size. Exact location in Bloomington/Burnsville, MN, area will be furnished     within 2 weeks of first day of class to all registrants. Step 4 Mail payment to: J&G Technology 2051 13th Ave W Shakopee, MN 55379 Voice/FAX Phone: (952) 935-1108 Email:gmeyer@jg-technology.com