Qb 4 Jlrs ONLINE Sign up Form

Qb 4 Jlrs ONLINE Sign up Form
Class Date: March 4th & 5th, 2013 || Monday & Tuesday

Please fill in the form below.

* Required fields
Name *
E-mail Address *
Store Name *
Street Address *
City, State, Zip *
Phone *
Fax
Main Attendee Name *
Additional Attendee Names
Credit Card Type	American Express Visa/Mastercard Discover
Card Number
Expiration Date
V Code (Last 3 digits on the back of the card at the end of the white strip or 4 digits on front of AMX cards.
QuickBooks Workshop You are Attending *
Chose "if" and what year of QuickBooks you use *
If you have a "POS" system, which one do you have? Please fill in.
Main Attendee $1199.00 less $100 discount =$1099.00 Until January 31th 2013 (A $100 deposit will be charged immediately, remainder 1 week before the workshop] type "999.00" in field to the right.) *
If bringing 1 more attendee, fill in "$299" in box.
Total Regsitration Fees (add two boxes above) *
I have read and agree to the Privacy Policy *