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Service Seminar Signup

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Personal Information
First Name * :

Last Name * :

Company * :

Title:

Department:

Address
Street Address 1 * :

Street Address 2:

City * :

State * :
Choose "Other" if outside the USA.
Zip/Postal Code * :

Country * :

Contact Information
Telephone Number * :
 Ext:
Fax Number:

Email * :

Seminar Information
Which class would you like to attend?

Which option would you like? Option A Option B

If you choose Option B, please select from the following classes for Friday:

Please choose your shirt size:

For cost information, please contact Tammy McHargue at:
phone: (616) 392-6550 x 809
fax: (616) 393-4550
e-mail: serviceseminar@thermotron.com
or tmchargue@thermotron.com

We accept POs, Visa, Mastercard, American Express, and checks.
Please make checks payable to Thermotron Industries. Money must be U.S. Currency.
Cancellations received after May 1th, 2008 are subject to a 25% charge.
There is no charge for substitutions.

Payment may be mailed to:
Thermotron Industries
MB Unit #689590
1000 N. Market Street
Milwaukee, WI 53268-9590

This Seminar is Open Only to Direct Employees of Thermotron Customers.

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