Registration Form

Please fill in the following information to register for a class...

Note: All fields with an asterisk * indicate that they are a required field.

Please provide the following contact information:

Name	*
Title
Organization
Street address	*
Address (cont.)
City	*
State/Province	*
Zip/Postal code	*
Day Phone	*
Evening Phone
FAX
E-mail

Please provide the following payment information

	BILLING & Payment Information
Cash	If you are paying via cash please check this box and bring payment with you.
Check	If you are paying via check please check this box and mail or bring payment with you.
Credit Card	If you are paying via credit card please check this box and we will contact you for the information after receiving your registration.
Purchase order #
Voucher #

What is the name and date of the class you are signing up for?*

Class Name (Select from Dropdown list) Month of Class

* *

By Submitting this form you agree to the Cancellation Policy: We require a 24 hour (working day) cancellation notice. If notice is not given, you will be billed in full for the course and fall under the 90 Day Retake as described in the Policy Section on the Course Schedule Page.

Note: Upon receiving this form, we will email a confirmation. If you do not have an email address, confirmation will be sent via fax, mail or phone. If you do not receive confirmation, please contact us to verify your registration (907) 452-7325.

Registration Form

Note: Upon receiving this form, we will email a confirmation. If you do not have an email address, confirmation will be sent via fax, mail or phone. If you do not receive confirmation, please contact us to verify your registration (907) 452-7325.

Copyright North Star Computing, Inc. Last revised: August 12, 2010

Copyright North Star Computing, Inc.
Last revised: August 12, 2010