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ONLINE CLASS REGISTRATION FORM
Please fax printed forms to:
(337) 234-8082.
To register for one of our courses online, fill in the form below. Fields marked with an
*
are mandatory. You can also register by printing and completing the form in either Word (.doc) or Adobe Acrobat (.pdf) format and faxing it to (337) 234-8082.
*
Student Name:
*
Company:
Classification:
End User/Customer
System Integrator (*4)
Intellution Rep./Dealer
Architect/Engineer (*4)
Orig. Equip. Manufac. (*4)
Other
Fanuc Distributor:
*
Address:
Address 2:
*
City:
*
State/Province:
*
Zip Code:
Country:
*
Phone:
*
Fax:
*
Email:
*
Course Name/#:
*
Course Date:
*
Course Location:
Purchase Order #:
If you are a System Integrator (SI), Architect Engineer (A&E), or Original Equipment Manufacturer (OEM) note VAR #
VAR #:
All courses must be paid for
BEFORE
the class date!
Important Information:
Once submitted, please mail a check or fax the original purchase order
(payable upon receipt of invoice)
to the address or number listed below. A class must have a minimum of eight students or it may be necessary to reschedule. InfoLink is not liable for any airline, hotel or other penalties that may occur in the event that the class must be rescheduled. Student seats are confirmed only after receipt of a check or purchase order.
*Cancellations less than a week prior to the start date are non-refundable
Send check or purchase order to reserve your seat to:
InfoLink USA
307 La Rue France
Lafayette, LA 70508
Phone: (877) 446-3654
Fax: (337) 234-8082
