Model-Netics® Instructor Training Program MAIN EVENT REGISTRATION INSTITUTE TRAINING DATES: June 25-29, 2018 (Mon. Fri.) – First/Middle/Last Nickname, if used Name Title Organization Name/Street (or P.O. Box) or Province/Country/Zip Code Organization / Address Telephone/Fax No./E-Mail Address Telephone Fax E-mail or Province/Country/Zip Code Residence Address Telephone/Fax No./E-Mail Address Residence Telephone Fax E-mail Sponsoring Organization Tuition enclosed (For amount, please refer to Tuition section of the Course Course Tuition Information for the ITP you plan to attend.) Bill sponsoring organization (provide contact/address) – Authorization Date I am authorized to execute this document which legally binds the sponsoring organization. Please enter information & email or fax to: info@maineventmanagement.com | (713) 523-1005 Mail form and payment to: Main Event Management Corporation, 2727 Allen Parkway, Suite 1600, Houston, TX 77019
Model-Netics® Instructor Training Program REGISTRATION MAIN EVENT INSTITUTE TRAINING DATES: June 25-29, 2018 (Mon. – Fri.) Name First/Middle/Last Nickname, if used Title Organization / Address Organization Name/Street (or P.O. Box) or Province/Country/Zip Code Telephone Fax E-mail Telephone/Fax No./E-Mail Address Residence Address or Province/Country/Zip Code Residence Telephone Fax E-mail Telephone/Fax No./E-Mail Address Sponsoring Organization Course Tuition Tuition enclosed (For amount, please refer to Tuition section of the Course Information for the ITP you plan to attend.) Bill sponsoring organization – (provide contact/address) Authorization I am authorized to execute this document which legally binds the sponsoring organization. Date Please enter information & email or fax to: info@maineventmanagement.com | (713) 523-1005 Mail form and payment to: Main Event Management Corporation, 2727 Allen Parkway, Suite 1600, Houston, TX 77019
ITP-Registration-Form-June-2018.docx