When:
Time:
Cost:
For more information:
Agency: _____________________________________________________________________________
Name:______________________________________________________________________________
Title/Section: _________________________________________________________________________
Street Address: _______________________________________________________________________
City, State and ZIP Code: _______________________________________________________________
Work Phone:
Email Address:________________________________________________________________________
Payment type: Check______________ Purchase Order______________ Credit Card________________
Credit Card______________________________________________________ Exp. ________________
Billing address:_______________________________________________________________________
Please mail completed registration form with payment to:
FORAY TECHNOLOGIES
ATTN: Training Registration
3911 5th Ave, Suite 300
San Diego, CA 92103 Fax: 619-858-1366
Or email to: training@foray.com
Full payment is required prior to above date. Cancellations will be handled as follows: cancellations made 21 days prior to the event will receive a full refund; cancellations
made less than 20 days will not be refunded.