Course Registration Form


Date __________________


Name _________________________________________


Organization Name ____________________________


Address _______________________________________


City __________________________________________


State/Zip Code ________________________________


Phone # _______________________________________


Member ID # ___________________________________


Email Address _________________________________


Please register me for the following courses:

Course Name (ex. Windows 98, Word 2000)

1. _______________________________

2. _______________________________

3. _______________________________


Enclosed is a check/money order for $ _______________
($25 per course per person for the training materials)


Send all documents to:

ITAV, Inc.
Attn: Course Registration Dept.
PO Box 712
Teaneck, NJ 07666