BEST ENROLLMENT FORM (Fax back to BEST @ 847-797-9255)

       

Name:  

Employer:  

Address:  

City, State, Zip:  

Supervisor:  

Business Telephone:  

Email Address: How did you hear about BEST?

 Course Title:

 Course Date (s): Previous Certification Provided By:

 Previous Certification Number: Previous Certification Expiration Date:

 Course Location: Course Fee:

 Total Enclosed:

 Enclose check or money order (payable to Business Electronics Soldering Technologies) or Complete Visa/MasterCard Information.

 Visa/MasterCard #: Expiration Date:

 Signature:

 Space is limited and filled on a first come – first serve basis. To ensure that space is available and to confirm your enrollment, payment must be made two (2) weeks prior to class. Purchase Orders may be issued at any time, but payment must still be made 2 weeks before class.

 Make all checks payable to Business Electronics Soldering Technologies (BEST). Checks must be drawn on a U.S. bank in U.S. dollars. Please attach check or money order to this form and send to:

Business Electronics Soldering Technologies 3603 Edison Place Rolling Meadows, IL 60008

 Cancellation Policy Cancellations are allowed three weeks prior to class without any cancellation fees. For cancellations within 3 weeks to 1 week of the class, a 50% fee will be charged. For cancellations within one week a 100% fee will be charged.

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