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Performance Measurement PLUS Workshop Registration

Name:
Firm Name:
Address:
City:	Zip:
Phone:		Fax:
E-Mail:

I would like to attend the following workshop:

On-line version available 10/1/07

Investment * :

$995 tuition

Pay By Check:

Make Checks Payable to Mentor Plus.

Send Checks to:

Mentor Plus

P.O. Box 389

Carmel Valley, CA 93924

Pay by credit card: For your own credit card information protection, please PRINT this form and fax it to 831-659-7588.

Credit Card Information (M/C or Visa Only):

Card Holders Name:
Billing Address:
Card Number:		Exp:

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Our Guarantee: If you are not completely satisfied with the PMP workshop by the end of third day, we will promptly refund your tuition.

* Tuition prices as of 02/01/06. Prices subject to change.
** Early Bird discount must be redeemed at least 45 days in advance and may not be combined with any other offer.
*** PCPS discount subject to membership verification.

Cancellation Policy: You must cancel in writing (e-mail acceptable) up to 30 days before the scheduled workshop for a full refund. If you must cancel with less than 30 days notice, you can re-schedule for one of our other workshops within the next 12 months and receive a full credit toward that workshop, otherwise there will be a $500 cancellation fee.