Print,
complete, and mail/fax the below Registration Form with a check
payable to
The
University of Akron, a purchase order, or a credit card.
Tire Mechanics c/o Walcom Registration Services,
6780 Heverlo Road, Sunbury, OH 43074
Phone: (740) 524-4123,
Email: reg@walcom.com
Fax.: (614) 448-4098
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REGISTRATION FORM
Please place a check next to the type of registration you are applying
for
[ ] Full Course, $1650 [ ]
Individual Days, $500/Day
If you checked "Individual Days" above,
please specify the day(s) by checking the
appropriate fields. If you checked "Full
Course", you may skip this step.
[ ]
Mon [ ]
Tue [ ] Wed [ ]
Thu [ ] Fri
Last Name: __________________________ First Name:
__________________________
Company:______________________________________________________________
Job Title: _______________________________________________________________
Address: _______________________________________________________________
City: ___________________________________ State: ___________ Zip: ___________
Home Phone: ( ______ ) _______________ Work Phone: ( ______ ) _______________
Fax: ( ______ ) ________________ E-Mail: ____________________________________
If paying by credit card, please complete the fields below.
[ ] VISA [ ] Discover [ ]
MasterCard
Card No.: __________________________________ Expiration Date: _______________
Signature: ______________________________________________________________
Tire Mechanics Symposium Refund Policy
We reserve the right to cancel the course if the enrollment
is extremely low. Under this condition, a full refund will be issued
automatically. For refund initiated by the student, a written request
must be postmarked and mailed by August 30, 2008 to Walcom Registration
Services listed above; a processing charge of $25.00 will be assessed.
No refund will be honored after this date. However, you may send
a colleague in your place or transfer to a future class. There
will be no refund for those who simply do not attend.
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