Registration Form for Audio and Web Seminars

Registration Form for Live Internet Courses

You can use this form in one of three ways:

1. Fill it out online and click 'Submit Registration' below.
2. Fill it out online and print it.
3. Print the blank form.

If you choose option 2 or 3, fax or mail the form to:

HC Information Resources Inc.
PO Box 2109
Fallbrook CA 92088-2109, USA
Fax: 1-800-290-1967 (US/CAN) or +1-619-839-3166

Prefer to register by telephone? Call 1-800-801-8050

Cancellations: You can get a full refund if you cancel 21 or more days before the course. If you cancel fewer than 21 days before the course, you will receive credit toward another course.

Questions? Email hcinfo@hcinfo.com or call 1-800-801-8050.

Course schedule: titles, dates, and times

Please complete the entire form.

Date of seminar: (M/D/Y)

Name Reg date Reg via

Job title Dear

Organization Name:

Address line 1:

Address line 2:

City: State/Prov:

Zip/postal code: Country:

Tel: Fax:

E-mail: (for communication about the seminar)

What is your internet connection?

Organization type

How did you find out about the seminar?

Total Price (US$159 per seminar):

Purchase order number (if we are invoicing):

Credit card number (please enter with spaces as it appears on card): Exp:

Name on card: Certif sent

Comments: