| Student
Identification: |
| Name* |
|
| Company* |
|
| Full Work
Address |
(Example: 900 Day Hill Rd. Windsor, CT 06095) |
| Phone* |
(
)
Ext
|
| E-mail
address |
(Example: DoeJQ@goADNET.com)
|
| Class
Information: |
Class Name
(Version & Level) |
(Example: Excel XP - Level 2) |
| Class Date
(1st Choice) |
|
| Class Date
(2nd Choice) |
|
Billing
Information:
(The
following credit cards are accepted: MasterCard, VISA,
and American Express) |
Name
(To whom the invoice should be sent) |
|
| Address |
(Example: 900 Day Hill Rd. Windsor, CT 06095) |
| Phone* |
(
)
Ext
|
| Billing
E-mail address |
(Example: purchasing@goADNET.com) |
| Credit Card Information |
Please call
(860) 688-7555, Option 3
with your Credit Card information
|
| Other
Information: |
| Comments |
|
| Please
Contact Me |
YES (Check if Needed)
|
Cancellation
Policy:
Our Policy requires that students cancelling their registration to a class do so prior to the cancellation period (depending on the class, 7- 14 calendar days). Please see your confirmation letter for information pertaining to the specific cancellation period for your class. Failure to cancel a registration prior to the cancellation period will result in the student being invoiced for 100% of the class tuition. If you need to cancel your enrollment, or have questions pertaining to the cancellation policy, please call ADNET at (860) 688-7555, Option "3". |
| Click
here to Acknowledge |
YES, I understand the Cancellation policy
|
| *Required |
|
