Class Registration Form
   
Date
________________________
Name
_____________________________________________
Organization Name
_____________________________________________
Address
_____________________________________________
City
_____________________________________________
State/Zip Code
_____________________________________________
Phone
_____________________________________________
Member ID #
_____________________________________________
Email Address
_____________________________________________
  (Note: This is the email address that will be used to set up the account for your class.)
Please register the following people for classes:
 

Employee Name & Email Address
Class Name & Version
      

Example: Microsoft Word  2000
1. _____________________ ______________________
_______________________________

2. _____________________ ______________________
_______________________________

3. _____________________ ______________________
_______________________________

4. _____________________ ______________________
_______________________________

5. _____________________ ______________________
_______________________________


Enclosed is a check/money order for $__________________ (Made payable To ITAV, Inc.)
($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

Thank you for registering for a course!


Revised: 9/10/02