Pacific Rock & Concrete Design Training Registration Form

Telephone

 

1 (604) 448-1809

Fax

 

1 (604) 448-1810

Cell

 

(604) 830-4454

Email

 

dan@pacific-flexcement.com

 

SureCrete Countertop Training

Name

__________________________________________

Company

__________________________________________

Mailing Address

__________________________________________

 

__________________________________________

 

Phone 

_________

Cell

__________

Fax 

_________

email

__________

 

Course Cost: $1500.00 + GST per person

group rate $1500.00 + GST for 1st member then $1350.00 + GST for each remaining group member

$100 non-refundable deposit per person with booking. Balance due on first day of Course.

Course Dates Requested

 

_______________________________

Number of Attendees

 

___________

 

 

 

Deposit enclosed

 

____________

Balance due at Course 

 

____________

Total Fees Due            

 

____________

 

 

 

Names of attendees

 

_____________________________________________

 

 

_____________________________________________

 Complete this form and send with cheque or money order to :

 


Pacific Rock & Concrete Design

11240 Seahurst Road,
Richmond, B.C. V7A 3N9

 

or Fax to:   1 (604) 448-1810

 

 

 

For information phone 1 (604) 448-1809 or email dan@pacific-flexcement.com

Please Note:  All of our Training Seminars are carried out at our BC Training Centre in Richmond, BC - 4691 Vanguard Road.

 

 

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