~ ~ ~ ~ ~ ~ ~  R E G I S T R A T I O N   F O R M  ~ ~ ~ ~ ~ ~ ~

(print, complete, and fax this form to RTI's fax line: 1-407-249-1620)

1. For payment by check - fill out the course registration form below, indicate your choice of course date and location, call RTI to reserve your place or fax RTI this form, and then mail your completed registration along with your check to: REGULATIONS TRAINING, INC. 2141 Wild Tamarind Blvd. Orlando, FL 32828
2. For payment by credit card - fax your registration information to 1-407-249-1620.

Course Title Tuition 30 Day Advance Payment*
Basic 49 CFR Course  $945.00 $895.00
Basic 49 CFR/Air Course  $1575.00 $1475.00
Basic 49 CFR/Air/Sea Course  $2075.00 $1975.00
Basic 49 CFR/Sea Course  $1495.00 $1395.00
Advanced 49 CFR Course  $945.00 $895.00
Advanced 49 CFR/Air Course  $1575.00 $1475.00
Advanced 49 CFR/Air/Sea Course  $2075.00 $1975.00
Advanced 49 CFR/Sea Course  $1495.00 $1395.00

*30 day advance payment policy requires that payment be received via mail/courier/fax 30 calendar days before the first day of class.

Course Date: _______________ City: ________________________ Course Number __________

Name: Mr. / Ms. _________________________________________________________________

Title: __________________________________________________________________________

Company Name: _________________________________________________________________

Address: _______________________________________________________________________

City: _______________________________ State: _______ Zip: _____________

Phone: _____ - _____ - ________ Fax: _____ - _____ - ________ Email: ____________________

Indicate which payment you will be using: VISA | MASTERCARD | AMERICAN EXPRESS | CHECK

Credit Card Account No: ____________________________________ Security Number: _________

Exp. Date ____________ Authorized Signature: _________________________________________

SUBSTITUTION/CANCELLATION POLICY: Substitutions are permitted provided RTI is notified prior to the course. Cancellations which are made at least two weeks prior to the course will receive a full refund. Cancellations made less than two weeks before class will receive a refund of tuition minus a $100 processing fee. If you do not cancel your enrollment prior to the first day of class, no refund will be made but a credit may be applied to future training during the same calendar year.

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For more information or call:

Roy Marshall
Regulations Training, Inc.
Orlando, FL, USA
1-800-317-0518