Seminar Registration Form for ReliaSoft Seminar Organized by the PSDC

ReliaSoft® Corporation: Seminar Registration Form

Submit Registration Form To:

Penang Skills Development Centre (PSDC)
Phone: +60-4-643 7909 Fax: +60-4-643 7929 E-mail: training@psdc.org.my
Mail: 1, Jalan Sultan Azlan Shah, Bandar Bayan Baru, 11900 Bayan Lepas, Penang, Malaysia

Course, Date and Location	Fee
MSMT Reliability Foundations - February 23 - 27, 2009 - Penang, Malaysia
PSDC Member: RM5,000.00
Non-Member: RM5,500.00

Payment Information:

Company Purchase Order (attached, NET 30 terms)	Check/Money Order (Payable to Penang Skills Development Centre)
Wire/Telegraphic Transfer See transfer instructions (http://www.ReliaSoft.com/order/transfer_psdc.htm)…

Apply CRP Credit to the attendee's Certified Reliability Professional Program account, number:

Billing Information:

Attendee Information:


Name:
Company:
Address:


Phone:
Fax:
E-mail:

Please provide if different than 'Billing Information.'
Name:
New IC No:
Company:
Address:


Phone:
Fax:
E-mail:

Additional Information:

Bundles & Gold Subscription: If purchasing a Bundle, ReliaSoft will contact you to complete your registration.
Hotel Reservations: You may make reservations on your own.
Substitutions: Substitutions are allowed provided that ReliaSoft and PSDC are notified prior to the seminar start date.
Cancellations: Cancellations received up to 10 working days prior to the seminar start date will be entitled to a refund of the full registration fee. After this period, all cancellations will be subject to the entire registration fee. If purchasing a Bundle, cancellations are not allowed; you may only transfer (see Transferring below). ReliaSoft reserves the right to cancel a seminar at any time up to 2 weeks prior to its start date. In the event of ReliaSoft canceling, you will automatically be transferred to the next upcoming seminar. If transferring is not acceptable, registration fees will be refunded upon request. ReliaSoft is not responsible for any other charges such as non-refundable airline tickets.
No Shows: Registrants who do not attend the seminar and who do not notify ReliaSoft Corporation of cancellations will be subject to the full registration fee and will not have the ability to transfer the registration.
Seminar Fee Includes: Lectures provided by our experienced pool of instructors, lecture notes and software training guide(s), evaluation copies of ReliaSoft’s software, refreshments and daily lunch. A certificate noting the skills achieved is granted upon completion of each course. Attendees are eligible for 0.1 Educational Units per contact hour.