ReliaSoft Seminar Registration Form

ReliaSoft® Corporation: Seminar Registration Form

Submit Registration Form To:

ReliaSoft India Private Limited
Phone: (+91) 44-4208-7785 or (+91) 44-4208-7784 Fax: (+91) 44-4208-7756
Mail: New No. 16, Old No. 21, Cenotaph 1st Street, Alwarpet, Chennai - 600 018

Course, Date and Location	Fee
RS 401(C) - July 10 - 11, 2008 - Pune, India Rs16,000.00 discount for early registration by June 26, 2008 (- Rs2,000.00)
Yes, I will bring a laptop No, I will not bring a laptop (+Rs2,000.00)
10.30% Service Tax (for seminars in India) More detail...
Total Cost

Payment Information:

Company Purchase Order (attached, NET 10 terms)	Check/Money Order (Payable to ReliaSoft India Private Limited)
Wire/Telegraphic Transfer See transfer instructions (http://www.ReliaSoft.com/order/transfer_in.htm)…

Apply CRP Credit to the attendee's Certified Reliability Professional Program account, number:

Billing Information:

Attendee Information:


Name:
Company:
Address:


Phone:
Fax:
E-mail:

Please provide if different than 'Billing Information.'
Name:
Company:
Address:


Phone:
Fax:
E-mail:

Additional Information:

Hotel Reservations: You may make reservations on your own.
Substitutions: Substitutions are allowed provided that ReliaSoft is notified prior to the seminar start date.
Cancellations: Cancellations received up to 10 working days prior to the seminar start date will be entitled to a refund of the full registration fee. After this period, all cancellations will be subject to the entire registration fee. If purchasing a Bundle, cancellations are not allowed; you may only transfer (see Transferring below). ReliaSoft reserves the right to cancel a seminar at any time up to 2 weeks prior to its start date. In the event of ReliaSoft canceling, you will automatically be transferred to the next upcoming seminar. If transferring is not acceptable, registration fees will be refunded upon request. ReliaSoft is not responsible for any other charges such as non-refundable airline tickets.
Transferring: You may transfer your registration to an upcoming scheduled seminar by notifying ReliaSoft at any time prior to the seminar start date. You may transfer once at no cost. A fee (Rs 500) will be assessed for each additional transfer.
No Shows: Registrants who do not attend the seminar and who do not notify ReliaSoft Corporation of cancellations will be subject to the full registration fee and will not have the ability to transfer the registration.
Seminar Fee Includes: Lectures provided by our experienced pool of instructors, lecture notes and software training guide(s), evaluation copies of ReliaSoft’s software, refreshments and daily lunch. A certificate noting the skills achieved is granted upon completion of each course. Attendees are eligible for 0.1 Educational Units per contact hour.