Customer Location Service Training Class Registration Form

Complete this registration form and return it to Sky Climber®.  Indicate the course dates desired, allowing at least one week between 1^st and 2^nd choices.

Training Course(s) Requested:                                             

          ___ Alpha 1500 Course                                      ___ Compact Series & Alpha 1000 Course
                  (1/2-day duration)                                               (2-day duration)

Training Course Requested Dates:                                                          

            1^st Choice (Date):                                                                                  

            2^nd Choice (Date):                                                                                  

Customer Information:

            Company Name:                                                                                                             

            Address:                                                                                                                         

            City: ___________________________________ State: ________  Zip:                                 

            Company Phone:  ____________________________  FAX:                                                 

            Contact Person:                                                                                                               

Training Location (if different than Customer Address):

            Location Name:                                                                                                            

            Address:                                                                                                                      

            City:____________________________________  State: __________  Zip:                         

Payment Method:

            _____   Company Purchase Order Number:                                                                    

            _____   Charge Credit Card (circle one) - American Express, Visa, Master Card

                        Card or Account No.                                                           Expiration Date:              

                        Name on Card:                                                                                                       

                        Authorized Signature:                                                                                                          

Fax the form to Sky Climber® at (740) 203-3901.

If paying by check, please mail a copy of completed form and the check to the following address:
Training Dept., Sky Climber®, Inc., 1800 Pittsburgh Drive, Delaware, OH 43015