FDTN On-line Course Registration

MEMBER TYPE	Individual ($48/yr) Department ($240/yr) Corporate ($500/yr)
**Course:
**Name:
Title:
**Department:
**Address:
**City:
**State:
**Zip:
**Phone:
Fax:
**Email:
PAYMENT	MC/VISA AMEX Department PO**
	Card/PO #:**
	Expiration/PO Issue Date:**

ONLINE REGISTRATIONS ACCEPTED UP TO 15 DAYS PRIOR TO THE COURSE.

REGISTRATIONS BY FAX OR MAIL MUST BE RECEIVED 15 DAYS
PRIOR TO THE START OF THE COURSE.

FDTN CANCELLATION POLICY

Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of cancellation the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start of the course. Registration fees for cancellation made within 15 days of the course are non-refundable. Name changes are permitted with no charge.

Mail, Fax, or email you registration to FDTN.

FDTN On-line Course Registration

PAYMENT