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International Education Training Services 42-24 158th Street, Flushing, New York 11358 Fax: 718-445-1803 E-mail: iets@ietstraining.com |
REGISTRATION FORM
Print this form and fax your registration first (with purchase order number), then follow it with payment| Name: | |||||
| Title: | |||||
| Institution: | |||||
| Address: | |||||
| City: | State: | ZipCode: | |||
| E-mail: | |||||
| Phone: | Fax: | ||||
Please register me for the following:
| Program (Fill in) | Date(s) | Cost |
|---|---|---|
| EARLY REGISTRATION DISCOUNT: Deduct 10% on faxed or mailed registrations received by January 22nd, 2009! |
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| TOTAL DUE: | ||
| I wish to pay by credit card: Name on Card:_________________________________ Number:_______________________________ Expiration date:___________ Different Billing address: Street: ___________________________________ City: ____________________________________ State:_______ Zip:___________ I wish to pay by check My check will follow. PO#_______________________ (if available) |
PARTICIPANT AGREEMENT
I understand that my institution is fully responsible for payment immediately upon
submission of this registration.
Payment must be made prior to attending unless prior arrangements have been
made.
Any cancellation must be made no later than one week before the program to not be liable
for payment.
Signature___________________________________Date __________________
NOTE: If you are registering for the F-1 or J-1 SEVIS Essentials
programs, please tell us the amount of experience you have had working with the following:
F-1 students ______________________________________________________________
J-1 students/scholars _______________________________________________________