Searches Training Registration Form

Registration for
Training Sessions
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Send completed form to: [email protected]
Send cheque payment to:
Information Services Corporation
Attn: Training, #300–10 Research Drive, Regina, SK S4S 7J7
Inquiries (Toll Free): 1-866-275-4721
Firm or Other Name
Address
City
Postal/Zip Code
Province/State
Phone Number (include Area Code)
Country (if outside Canada)
Fax Number (include Area Code)
Participant after hours contact Phone Number (includes Area Code)
In event of severe weather etc.
Check box if you would like to be wait-listed if course is full.
Please register the following individuals for Training:
(Complete additional form if required)
Registrant Name (Last and First)
Session Name
& Location
Email Address
Session Fee: $236.25 ($225+ GST) per participant, per session)
Session Date
(DD/MM/YYYY)
Training Fee
(GST included)
Total Training Fee* (GST included)
Please advise if you have any allergies or dietary restrictions:
* Total Training Fee MUST be PAID IN FULL prior to session date
(explain)
Payment Method (full payment required prior to session date):
Cheque
OR
Credit Card
Payment:
Visa
MasterCard
Cardholder Printed Name
Card Number
Expiry Date (MM/YY)
CSC*
*3-digit code on the back of credit card
Cardholder Signature
Accounting Use ONLY
x
Cost of session per person
=
Number of registrants on this
form
+
SUBTOTAL
Training Fees
=
GST (5%)
TOTAL Training Fees
Cancellations and Substitutions: A full refund of paid registrations will be made if cancellations are received no less than five (5) working days prior to
the training session start date for which a participant is registered. Cancelations received after that time will be assessed a $50 registration surcharge.
Any/all remaining pre-paid registration fee may be applied to a future training session, or a refund request may be made. If notice of cancellation is not
received and you are not in attendance of the pre-registered course, full fees will be assessed and no refund will be issued. Substitutions may be made
at any time.
ISC-TRN-LST0001-2014 – 08 -13 an