ERGONOMICS TRAINING CO.
 P.O. Box 213  Covington, OH 45318
Phone (937) 332-1340                 Fax: (937) 335-2814

   SEMINAR REGISTRATION FORM
 This form can be printed from your browser


Date of Seminar: ____________________________    

Seminar Location (City & State): ______________________________________________________________
Name of Attendees: (Please Print)

  1. _____________________________________
   
  Company Name:____________________________
  1. _____________________________________
    Mailing Address:____________________________
  1. _____________________________________
    City, State, Zip: ____________________________
  1. _____________________________________
    Phone:  ___________________________________
  1. _____________________________________
    Fax: _____________________________________
A confirmation letter will be mailed out to each attendee with all the details. Attendees will also
receive a hand-out folder, a certificate,  and $25 worth of Ergonomics booklets at the seminar.

Registration cost for Manufacturing Seminars
Registration cost for one person        $295 per person
   For 2 people or more                           $199 per person


Payment Options

_____Check payable to "Ergonomics Training Co."  

_____ Charge to   VISA _____  MC_____  AMEX _____

Credit Card # ________________________________Exp. Date: ______

  _____Bill my company PO# _________________Net 30 days

_____Bring a Check to the seminar

  Three easy ways to register   

By Phone:         (800) 522-9625 
   or                  (937) 332-1340
By Fax:              (937) 335-2814  
  By Mail:   Ergonomics Training Co.
                     P.O. Box 213
                     Covington, OH 45318