J&G Technology 2009 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

_____ Auditing to ISO/IEC 17025 
$695

$695
_____ Understanding Measurement Uncertainty

_____ Measurement & Calibration Overview
$695

$595
_____ Troubleshooting Electronic Instrumentation

_____ Certified Quality Technician Preparation (CQT) 		Not Scheduled

$695

$995
_____ Certified Calibration Technician Preparation (CCT) $995
_____ Understanding Measurement Uncertainty $695
_____ Calculator Refresher for ASQ Exams
$195

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

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