Registration for Accelerated CNC @ WPI
Prices listed below are for a single person and the full amount must be pre-paid to reserve a seat. You can sign up by calling Toby Bergstrom at +1-508-831-5122 with course title, section, date, and credit card information or by printing out this page, filling in required fields, and faxing to Toby Bergstrom at +1-508-831-5673. Checks should be made out to "WPI".
Sign-Up
Name:__________________________________________
Address:_______________________________________
_______________________________________________
_______________________________________________
Phone:_________________________________________
Method of Payment
__ Check
__ Discover
__ Visa
__ MasterCard
__ American Express
Credit Card #:_________________________________
Expiration Date:_______________________________
Name on Card:__________________________________
(Please print name exactly as it appears on the card)
Signature:_____________________________________
Maintained by webmaster@wpi.eduLast modified: October 09, 2006 14:17:26