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Seminar Registration & Book Order Form
Please print information and sign below
SEND TO: CTI, 904 Bob Wallace Ave./Ste. 117, Huntsville, AL 35801, Fax: (256) 539-8477
Last Name First Name
Job Title
Company
Mail Address Mail Stop
City State/Providence Postal Code Country
Tel: (        ) ______________________________________ Fax: (        ) ______________________________________
Email: _______________________________________________________________________________________
[     ] Advance Registration Fee
[     ] Registration fee after October 1st
[     ] Group Discount - 10%, 3 or more
$2100.00 ___________
$2200.00 ___________
___________
Total ____________
IMPORTANT NOTE: Refer to Registration Information regarding Discounts and Cancellation Fees. Registering denotes an understanding of the policy regarding cancellations and substitutions. CTI Reserves the right to change dates, venue, or cancel a Seminar.

BOOK ORDERS -

# Copies   U.S. Dollars Sub-Total
__________
__________
__________
Semiconductor Technology Handbook
Accelerated Life Testing Handbook
CLR Passive Components Handbook
$275.00
$190.00
$140.00
___________
___________
___________
Alabama orders must add sales tax to book price ___________
Add Shipping & Handling for each book:
[     ] Surface Shipment - U.S.
[     ] Air Shipment - U.S. & Canada
[     ] Air Shipment - Outside U.S.
* Or provide FedEx Acct. No. ___________________________
$ 10.00
$ 40.00
$ 85.00
Total
___________
___________
___________
___________

PAYMENT TERMS

Prepayment is required on Handbooks. Payment must be made by credit card, check, or bank transfer to the account of Component Technology Institute. Please contact CTI for transfer information. All checks and transfers must be free of bank charges.

Payment by [      ] Check [      ] Bank Transfer [      ] American Express [      ] MasterCard [      ] Visa
Account No.: ________________________________________________ Expiration:__________
Cardholder’s Signature: ___________________________________________________________
Print Cardholder’s Name: _________________________________________________________

Components Technology Institute Inc.
904 Bob Wallace Avenue / Suite 117
Huntsville, AL 35801
Tel: (256)536-1304 Fax: (256)539-8477
Contact: Clay Hamiter, Web: www.cti-us.com