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Application for Enrollment

The Technology Transfer Center (TTC)
Note: fields with an * are required.

* Name:
Title:
Company:
Address 1:
Address 2:
City:
State/Province:
Postal Code:
Country:
Area Code:
Phone Number:
Area Code:
Fax Number:
* E-mail:
I have the following equipment:



Other:
Method of Payment:
Check      PO
PO Number:
Desired Course Date:
Course Subject:
Students (List below):
$1,000.00 tuition is for one person per day. A course for 2 students (or more) would be $500.00 per person per day.

AMETEK Inc.: Power Instruments Business Unit
255 North Union Street
Rochester, NY 14605

Tuition includes continental breakfast, beverage breaks, luncheons, product manuals and lecture notes. Checks (made payable to AMETEK) or other form of authorized commitment to cover fees should be forwarded immediately to the above address, together with this application.

Applicants may cancel up to ten days before the start of the course for a full refund. Cancellations received later than ten days prior to the start of the course are subject to a $100.00 service charge. Applicants who have not cancelled reservations by two working days prior to the start of the course are subject to the entire tuition fee.
Comment/Question:
 
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