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Home > CRM Online Education > Online Registration

 

 

Online Registration

 

Download Registration Form
You may also download a printable PDF of the Registration Form and mail or fax it in. Adobe PDF plugin required. Click here to install

 

Program Confirmation
Once you have registered for one of our programs, we will send you a confirmation email. As program start dates approach, you will receive a paper confirmation package. These confirmations ensure that a place will be reserved for you in the program.

Registration and Cancellation Policies

Payment Policy:
Program fees are due in full upon acceptance into the program or as late as two weeks prior to program start date.

Substitution Policy:
Qualified substitutes for registrations can be accommodated with advance written notice.

Cancellation Policy:
Due to costs associated with establishing, holding, and refilling participant slots, all cancellation notices must be received in writing.

No refunds will be made. Participants will have credit in our office for their use. The credit can be transferred upon receipt of written notice.

For more information contact:

AXIS Integrated Solutions
Professional Education
E-mail: info@axisintegratedsolutions.com
Tel: (305) 418-9440
Fax: (305) 418-9443

Program Name
Program Dates
   
Participant Information  
Salutation
Name
Title
Company
Address
City
State
Zip Code
Phone
Fax
Cell (For emergency use only)
E-mail

Please check all that apply.

Check payable to AXIS Integrated Solutions is enclosed in the amount of $1,895. Social security number (Necessary to process personal check)

Please invoice me

Credit card payment (See Credit Card Authorization below).

Billing Information

Personal billing address Company billing address

Name
Company
Address
City
State
Zip Code
Phone
Fax

Credit Card Authorization

Name
Address
City
State
Postal Code
Country
Telephone
Email

Please be sure to enter the email address so the client can receive an order confirmation.
Charge Amount
Is it an international credit card?
Yes No
Name on Card
Card Type
Card Number
Expiration Date:
Card Verification Value
Was the card present for this sale?
Yes No

How did the cardholder authorize the placement of this sale?

by phone
by fax
by e-mail
by mail
in person
in writing

 

Check this box if you do not wish to receive promotional mailings from AXIS Integrated Solutions.