First & Middle Names:

___________________________

First Name (familiar):

_________________

Last:

_______________________

Student's Email:

_______________________________________________

Company:

____________________________________

Mailing Address:

_______________________________________________________________________________________________

City:

____________________________

Province:

____________________________

Postal Code:

_________________________

Phone:

___________________________________________

Alternate Phone:

___________________________________________

Please note all licensing course materials are final sales. Registrations are Non-Refundable, Non Transferable. Student's initials: ______________
Notice of rescheduling must be received one week in advance (Minimum of 8 registrants one week prior to seminar, or seminar will be postponed and you will be notified.)
Your personal information is protected by the Freedom of Information and Protection of Privacy Act (Alberta) and the Privacy Act (Canada).

Canada Post Standard Shipping: Included with the cost of material

Rush Shipping: $30.00 fee applies

Total Amount Paid:

$_________________________________________

Order Date:

__________________________________________

Visa Card

Mastercard

American Express

Money Order (Payable to Business Career College)

Signature:

_________________________________________

Authorization #::

__________________________

(office use only)

Card #:

_____________________________________________

Exp date:

_____________________________________________