TECHNOLOGY TRAINING, INC.
(a tti group company)

OPEN COURSE REGISTRATION FORM

CAUTION: Before booking your travel, please contact TTi at 866-884-4338 to verify 
that space is available in the course(s) you have selected. TTi cannot be responsible 
for non-refundable air tickets or other travel expenses you may incur.

HOW TO USE THIS FORM:
You may do one of two things:

1.  Save this form as a text file, edit it and replace the blanks with your 
information using your word processor or text editor, and e-mail to: ams@ttiedu.com.
  OR
2.  Print this form, fill it out manually and fax to TTi at 805-715-2650.

Thank you for enrolling in a TTi course. If you have not yet received approval 
to attend a TTi course, you may use the following form to reserve a space. 
Simply circle the "Not Yet Approved" option. If you are approved, but are unsure 
about how your organization plans to handle payment, you may leave the Payment 
Options uncircled. 

Seminar title:_______________________________________________

Seminar Location:____________________________________________

Seminar dates:_______________________________________________
(See online schedule)

Full Name:___________________________________________________

Internal Address, mail station:______________________________

Email address:_______________________________________________

Company or Organization:_____________________________________

Street Address:______________________________________________

City:________________________________________________________

State or Province:___________________________________________

Zip or Postal Code:__________________________________________

Country:_____________________________________________________

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Job Title:___________________________________________________

Department:__________________________________________________

Voice Telephone:_____________________________________________

Cell Phone (for emergencies only): __________________________

Fax:_________________________________________________________

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Name of Supervisor: _________________________________________

Supervisor's Title: _________________________________________

Supervisor's Tel and Fax: ___________________________________

Supervisor's e-mail: ________________________________________
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Your Residence Address:______________________________________

Residence City, State and Zip:_______________________________

Residence Telephone:_________________________________________

Residence e-mail:____________________________________________
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BACKGROUND QUESTIONS:

You may expand the space below these questions as much as you need, or attach a separate sheet of paper if necessary.

1. What do you hope to learn from this class? Have you any questions or concerns you would like the instructor to address? 




2. Please describe how your current job duties relate to the course subject.



3. Please describe your formal education.


4. Please describe any previous training you have received on this topic.


5. What other TTi courses are you considering in the future?


6. Are you currently participating in TTi's Specialist Certificate Programs?

    yes     no     undecided

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Please circle one of the following:

    Check or money order (payable to TTi or Technology Training, Inc.) follows

    Purchase order follows

    Credit Card Information Follows 

    Not yet approved; reservation

Note: Credit card orders should be placed by telephone or fax, rather than via the Internet. Though there is minimal risk involved in emailing the purchase order number and billing instructions, we advise emailing this form without credit card or purchase order data, and telephoning or faxing us the sensitive data separately. 

Purchase Order no.:__________________________________________

Billing Instructions:________________________________________

_____________________________________________________________

_____________________________________________________________

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Thank you for completing this form. Please e-mail to ams@TTi4edu.com

Or fax to: 805-715-2650 

Or mail to: 
TECHNOLOGY TRAINING INC.
Attn: Registrar
3887 State St., Suite 210
Santa Barbara, CA 93105 USA

Toll-free tel. 866-884-4338 (866-TTi-4edu)
http://www.ttiedu.com

Copyright 2005 Technology Training, Inc.
070228 BJA