REGISTRATION FORM
Passive Components Seminar

SEND TO: CTI, Inc.,904 Bob Wallace Avenue / Ste. 117, Huntsville, AL 35801 Fax: (256)539-8477
Last Name: _________________________________ First Name: _______________________ MI: ___
Job Title: ___________________________________________________________________________
Company: ___________________________________________________________________________
Department: _________________________________________________________________________
Mail Address: ________________________________________________________________________
__________________________________________ Mail Stop: _________________________________
City: ______________________________________________________________ State: _____________
Zip Code: __________________ Country: _____________________________________________________
Tel: ______________________________________ Fax: _________________________________________
Email: __________________________________________________________________________________

IMPORTANT NOTE: CTI reserves the right to change the date or venue and to cancel a Seminar. Check with CTI before purchasing non-refundable airline tickets. CTI assumes no liability from such purchases. Registration denotes an understanding of the policy regarding a cancellations and substitutions

___ Passive Component Seminar ___ Late Fee $200, After October 9, 2006 ___ Group Discount, 3 or more - 10%

$1450 __________ $1650 __________ __________ Total: __________

Payment by: [ ] Check [ ] Bank Transfer* [ ] American Express [ ] Master Card [ ] Visa

* Contact CTI for Bank Transfer Info

Card No.: __________________________________________________ Exp.: ____/____
Cardholder's Signature: _____________________________________________________
Print Cardholder's Name: ___________________________________________________

Hotel Information will be provided after Registration is received.

For more information, contact:
Clay Hamiter
Tel: (256) 536-1304 Fax: (256) 539-8477