"Helping People Learn Compliance and Science" ^SM

Course Registration Form

 Fax or E-mail "Cut & Paste" Form

    Any special requests should be noted and we will contact you with the complete information.

    Name ______________________________________________________

    Title _______________________________________________________

    Company/Organization__________________________________________

    Address_____________________________________________________

    City, State, ZIP_______________________________________________

    Business Phone_______________________________________________

    E-Mail address_______________________________________________

    FAX_______________________

    Desired Method of Payment

                □ Check

                □ Bill my company.  (We must have a P.O. # to send an invoice.)

                □ Bill my credit card:
                           □ VISA □ MasterCard □ American Express

    Credit Card #____________________________________
    Expiration date _________/_________
    Signature _______________________________________

    Please Fax or e-mail this form to:
    Delphi Analytical Services, Inc.
    Fax (727) 593-3595
    info@delphianalytical.com

COURSE REGISTRATION ADMINISTRATIVE DETAILS AND CONDITIONS

GENERAL

Registration for all open enrollment courses closes one week prior to the course offering. However, we urge you to enroll as early as possible since some courses fill very quickly. Important: If you are registering less than two weeks before a course, you must call us to confirm that space is available.


COURSE FEES AND PAYMENT

Course fees include tuition and lecture and course materials. Fees do not include hotel rooms or meals. Prepayment is required to confirm your registration. Fees for all courses are listed with each course description. You may charge your registration fee on VISA, MasterCard, or American Express. We also accept company or personal checks for your registration. If you prefer, you may provide a purchase order number from your company, and we can bill your company directly. A company representative will contact you following your registration to confirm method of payment.

CANCELLATION POLICY

If you have registered for one of the courses, but for some reason cannot attend, call us right away. We will refund your money or cancel your invoice if you call us at least fourteen days before the course. Or, you can appoint an alternate attendee up to the last minute. “No Shows” are subject to a $200 cancellation fee, if they request a refund.
On occasions, DAS will need to cancel a course. Registrants of courses that have been cancelled will be notified as soon as the decision is made and be reimbursed any registration fees paid.

CONFIRMATION

Upon receipt of payment we will send you written confirmation of your course registration. This will include a confirmation number as well as course details including location, date, and a description of the course for which you have registered. Details for any special arrangements (e.g., modified course outlines) will be included as well.

HOUSING INFORMATION AND COURSE SITES

DAS courses are taught at the client site or in convenient geographic locations, via open enrollment. The actual teaching locations are chosen to be as convenient as possible for as many of the registered students as practical. If you need help with travel arrangements and determining a place to stay, DAS will be happy to assist you.

 

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