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Course Registration Form

Please use the following form to:
Receive Brochure Join Mailing List
Receive more information regarding a course
--> Please give the course name:  
Register for a course
--> Course Selection: ( use Ctrl or Shift key to select more than one item )

*Entries shown in bold are required.
*Course Date(mm/dd/yyyy) Find Date
 (for eLearning registrations, enter online)
*First Name, Middle Initial, Last Name
*Organization/Company Name
*Government Entity No
Yes
*Organization/Company Street Address
P.O. Box
Mail Code
*City
*State ( US & Canada )
*Zip/Postal Code
*Country 
*Telephone 
Fax  
*Organization/Company E-mail Address
  If you are not employed in the United States or in a US territory, please provide:
  Valid Passport Number
  Date of Birth (mm/dd/yyyy)
Primary work area:
*Customer Industry
  If other, specify in Comment area
*End User Market
  If other, specify in Comment area
Job Title
Department
NYS Professional Engineer No.
(For New York State Professional Engineer, please enter your number)
*Where did you learn about Siemens PTI's course offerings? (use Ctrl or Shift key to select more than one item)
Specify other method of learning about Siemens PTI's course offerings
If you have any further comments, please enter them here

 

General Terms and Conditions for Training at Siemens PTD SE PTI
(SPT&D PTI) ( Training Centers in USA).

*By selecting this box, I accept these Terms & Conditions.

 

Important note: You will receive a confirmation via email, along with an invoice, within one week.

CANCELLATION
Occasionally, unforeseen events or insufficient enrollment may necessitate the cancellation of a course. If a course is cancelled, Siemens PTI will attempt to notify each registrant no later than 14 days prior to the start of the course. Unfortunately, Siemens PTI cannot be responsible for any cancellation charges imposed by airlines, hotels, or travel agents.

If you are traveling to PTI in the Schenectady area, you may need lodging information or directions.

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April 22, 2008 03:53 PM ©2008 Siemens Energy, Inc.,
Power Technologies International (PTI)
in the Siemens Energy Sector,
Schenectady, NY, USA		 E D SE PTI
 
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