Print this form and mail, fax, or phone the completed form
to JMS. You're not registered until we receive this information.
Name _______________________________________ Seminar
Number (see Seminar Schedule) _______
Company name (if applicable) _____________________________________________________________
Address __________________________________________ City ________________________________
State _______________________ Zip ____________
Phone (______)___________________ Fax (______)___________________
email ________________________________________
Others registering with you _______________________________________________________________
_____________________________________________________________________________________
Total number registering ________ Total cost $ __________ (see
Registration Information above for cost)
Check
enclosed to JMS
Company
Purchase Order (P.O. # __________________ ) (If
required, our TIN is: 93-1029037)
CREDIT
CARD: Submit payment via PayPal (see below); fax registration
information to:
JMS at 503 / 292-7035
Bring
check or purchase order to seminar; fax above registration information
to:
JMS at 503 / 292-7035 NOTE: No-shows
are charged full cost
PayPal credit card payment
You can order with
your credit card through your free account at