EXCEPTIONAL RESULTS FROM HANDS-ON INSTRUCTION
For more information call
AIA Centers:CANADA: 416-492-4411; US: 772-222-6292
ATTENDEE INFORMATION :PLEASE PRINT CLEARLY

 

First Name      __________________________________________________________________

Last Name      __________________________________________________________________

Company         __________________________________________________________________

Address1         __________________________________________________________________

Address2         __________________________________________________________________

City _________________ State/Prov.  _________ USA __    CANADA __

Zip/Postal Code  _________

Phone-Home (_____) ____________________

Phone-Mobile (_____) _____________________

FAX (_____) ______________________

Email ________________________________________

Course Name    _______________________________________

Course Date ____________________

Course Location: Ardmore___ Calgary___ Gulf Breeze___ Other_______________

Course Fee $_________

Payment Method: Visa       #___________________________________________________________

EXP:___/___ Security Code______

Cheque      *Please make cheque payable to AIA Centers & send to 2001 Sheppard Ave Suite 801, Toronto ON Canada M2J4Z8  

Other  ______________________________________________________________________________________________

*Please confirm other methods of payment with AIA prior to registration

 

By submitting this registration, I acknowledge that I have read and agree with the

AIA CENTERS Cancellation/Refund Policies as posted on www.AIAcenters.com

Thank you for your registration!

CONFIRMATION WILL BE SENT TO YOUR EMAIL ADDRESS

 

AIA Centers: CANADA: 416-492-4411; US: 772-222-6292

Mailing Address: 2001 Sheppard Ave Suite 801, Toronto ON Canada M2J4Z8