Technical Training Seminar Registration Form by itm20607


									Technical Training Seminar
    Registration Form
Place: BOLDStone Corporate office
       4261 Sunset Lane, Shingle Springs, CA 95682

Dates: March 29, 2010 through March 30, 2010

Course #: B032910

Attendee’s Name(s):

Company Name:


City, State, Zip:

Phone:                                                        Fax:

Attendee’s Email(s):

Emergency phone #:
COST: The 2 day seminar is $299 per person. ($149 for each additional attendee from the same company)

BENEFITS: Skills acquired for the application of unique products, seminar materials, two free lunches during the seminar, a preferred installer
certificate, a special offer for products at the seminar, and a $299 discount on the first pallet of a 27 pail order of BOLDGranite and/or
BOLDFinestone received from your organization in the following 60 days after the seminar.

To register, you may fax this signed registration form to BOLDStone at (800) 816-5345 if you pay by PayPal. If you make payment by check,
money order or bank check mail payments, along with this signed registration form, to BOLDStone Conference Center, Attn. Amy Gudnason,
4261 Sunset Lane, Suite D, Shingle Springs, CA 95682. Please make checks payable to BOLDStone. Include the event number (B032910) and
attendee’s name(s) on all checks. Attendance will be limited, so please register early.

To cancel your registration, contact us at least two working days before the seminar date for a refund, minus a $100 cancellation fee, or receive
a full credit toward the price of any seminar scheduled during the following 12 months. Without advance notice, we cannot issue refunds or
credits, but you are always welcome to send a substitute from your organization to the seminar.

Your seminar registration will be confirmed via e-mail (only) if it is received more than 5 working days before the seminar. To receive a
confirmation, provide the appropriate e-mail address(es) on this registration form. Please note that some confirmations do not make it
through various spam blocks, firewalls, spyware, and other system protections.

We reserve the right to make changes to our seminar schedule at any time. These changes may include, but are not limited to, additions,
cancellations, and/or location changes. Every attempt will be made to keep registrants apprised of any changes that might affect their ability to

Method of Payment:

$ PayPal or Credit Card payments: If this is the option you want, BOLDStone will email you an invoice with a link to PayPal. If you already
have an account set up with PayPal then BOLDStone must use the email you use that is associated with that PayPal account. If you do not
have an account with PayPal BOLDStone would like to know what email address would you like the invoice and link to PayPal to be sent too?

  Check, Money Order or Bank Check: Please make checks payable to BOLDStone. Include the event number (B032910) and attendee’s
name(s) on all checks.

Signed:                                                                            Date:

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