GIMBAL BALANCE SEMINARS - REGISTRATION FORM

Print the form below and mail or fax it with payment information. Our fax number is: (860) 829-0005

      Enclosed is a check for $995 (Make check payable to "Space Electronics LLC")
      Enclosed is a purchase order for $995. Payments must be received before the seminar starts
      (payment can be made at time of arrival)
      Please hold my space with the following credit card information:

Check one of the following:

Card Type:            Visa  or           MasterCard  (Sorry, but we do not accept American Express)

Card Number:                                              Name on Card:                                          

Exp. Date:                                 

Participant:

Please print or type your full name. The certificate of completion will contain the name exactly as it appears below.

Name                                                                                                                            

Company                                                                                                                      

COMPLETE Mailing Address:

Phone                                                        Fax:                                                            

E-Mail                                                                                                                           

Date of Seminar:                                                                                                          

Note:   Classroom space can only be held if we receive a check, credit card number or purchase order (signed by a buyer) with your registration form.
SPACES WILL NOT BE HELD WITHOUT PAYMENT INFORMATION.   Register early, CLASS SIZE IS LIMITED.

Location of Seminar: Space Electronics LLC, 81 Fuller Way, Berlin, CT 06037

Schedule:

   TUESDAY, WEDNESDAY, THURSDAY
   Registration 8:30AM - 9:00AM (Tuesday only); Seminar 9AM-12PM & 1:30PM-4:30PM;
   Lunch break from 12-1PM; Refreshments served 10:30AM and 3:00PM

   THURSDAY EVENING - Graduation Ceremonies

   FRIDAY - Optional consultation for those whose flight schedule permits 9:00AM-12:00PM

Fee

Registration is $995 per person. Fee includes tuition, course materials, refreshments, and graduation dinner. It does not include air fare, car rental, hotel accommodations, or meals other than graduation dinner. Your registration will be confirmed upon receipt of your registration form and payment information.
Companies registering 4 or more students will receive a 10% discount.

Cancellation Policy

Registrants who cancel more than three weeks before each session will receive a full refund.
Registrants who cancel less than three weeks before a session will have the full fee applied to another seminar held at a later date. Substitution of a registrant is accepted at any time.
If Space Electronics cancels a seminar (because of insufficient enrollment), then the registrant has the option of a full refund, or the fee can be applied to another seminar at a later date.
No refunds will be given to registrants who do not attend and who fail to transfer their registration prior to a session for which they are scheduled.

Certificate of Completion

An attractive Certificate of Completion will be issued to attendees of the seminar. In addition, we will be pleased to notify a person's place of employment that the attendee completed the seminar.

Need More Information?

If you have any questions or need additional information, please contact:
   Emily Celino
   Email: ecelino@space-electronics.com
   Phone: (860) 829-0001
   Fax: (860) 829-0005

This seminar, or a customized training program, is available for in-plant presentation. Call for details.