Registration Form

Student Information (one registration form per person) Name: Company⁄Organization:
Address:
City:
State⁄Country:
Zip⁄Postal Code:
email Address:
Telephone:
Fax:

Course Information Title: Location:
Dates:
Price:
Title: Location:
Dates:
Price:

Billing and Payment Information Contact Person: Company⁄Organization:
Address:
City:
State⁄Country:
Zip⁄Postal Code:
email Address:
Telephone:
Fax:

Space is reserved in order of receipt of a completed Registration Form by Dynamic Graphics via this on-line form, via fax number 510-522-5670 or via delivery to 1015 Atlantic Avenue, Alameda, CA 94501 USA. Fees are payable prior to class start date. Fees may be paid via check, credit card, wire transfer or purchase order (payment by purchase order must be approved by Dynamic Graphics). Discounts may be available for multiple registrations from the same organization in the same class. Contact Dynamic Graphics for details. Registrant agrees to the following cancellation policy: 100% refund with written notice received by Dynamic Graphics at least 15 days in advance of class start date; 85% refund with written notice received by Dynamic Graphics between 14 and 6 days in advance of class date; 0% refund within 5 days of class start date or fails to appear for the class. Dynamic Graphics reserves the right to cancel the class with 14 days notice if less than 3 students registered. Under no circumstances shall Dynamic Graphics be responsible for any travel related expenses of the registrant.

I understand and agree to the conditions of this application.