FLAC3D Training Program

PARTICIPANT INFORMATION
Organization Name :      
Name :      
Division/Position :      
Phone :      
Mobile :      
Fax :      
Email :      
Address :      
     
     
City :      


Each participant is encouraged to bring his or her laptop to the class (Computers will not be provided). A Security key and the most recent software will be provided to all participants for the duration of the course.
I Will Bring My Own Laptop :      Yes     No

Fees :
     Indian National - 15000 INR / 375 USD
     Student (Indian) - 10000 INR / 250 USD
     Foreign National - 20000 INR / 500 USD
     Student (Foreign) - 15000 INR / 375 USD

Payment/Billing Method# :
     Cheque     Demand Draft     Wire Transfer

In Case of Demand Draft / On-par Cheque, Please Provide Following Details :
Amount:      
Demand Draft / On-par Cheque No.:      
Bank :      
Date :      

In Case of Wire Transfer:

         For Bank Details, Please Send Mail to: itasca.jaa@gmail.com

#Demand Draft or On-Par cheque should be made in favor of "Jay Aglawe and Associates" payable at Nagpur, Maharashtra, India.



NOTES/TERMS:
Registrations will be accepted in the order in which payment is received. Please note that the registration and payment deadline for the course is August 1, 2008. Itasca-JAA reserves the right to cancel or reschedule the course for any reason. In the event the course is cancelled or rescheduled, registered users will be promptly notified and offered their choice of a full refund of registration fees or preferential admission to a rescheduled course.






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