#100 - 1 Eva Road
Toronto, Ont. M9C 4Z5
Tel. 416.259.3343 x 26
Fax. 416.622.4130
www.m-ti.com

COURSE REGISTRATION FORM
Wireless CRM and SFA- Customer Relationship Management

Name:

________________________________________________

Company:

________________________________________________

Title:

________________________________________________

E-mail:

________________________________________________

Address:

________________________________________________

City:

________________________________________________

Province:

__________________ Postal Code: __________________

Phone:

__________________ Fax: _________________________

Course Name:

Wireless CRM and SFA- Customer Relationship Management

Date (please type):

Location:

1 Eva Road - Toronto (West Mall St. north of Bloor St.
Suite # 100

Price:

Only $350 CDN plus GST

Please sign and return this form by fax to 416.622.4130. or email to acornacchia@m-ti.com
We will send you by email the invoice.



Cancellation Policy: You may cancel your attendance at least 2 full working days prior to the course date to receive a full refund.

Sign here:

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      Signature

_____________________
      Date

Mobile Technology Institute - 1 Eva Road, suite # 100, Toronto, ON, M9C 4Z5, (416) 259-3343 x 3231