Princeton Professional Education Program Registration Form
 

Course Name: _______________________________________

Course Date: ________________________________________

Name: _____________________________________________

Job Title: _______________________________________________

Organization: ________________________________________

Address: ____________________________________________

City: ______________________________ State: ___________

Zip: ______________________ Country: __________________

Telephone number: ____________________________________

Fax number: _________________________________________

Email:______________________________________________

Please select a payment method:
[ ]
Check enclosed which draws from US Banks.
(Please make payable to TRI/Princeton)

[ ] Wire Transfer
to PNC Bank (Swift: PNCCUS33), ABA#031207607, for final credit to Textile Research Institute, A/C #8024131255, reference CPE. (Attach confirmation)

[ ] Visa Card [ ] MasterCard [ ] American Express

Card No: ____________________________________________

Expiration Date:______________________________________

Signature: ___________________________________________

Cardholder's Name: ___________________________________

Please return this page when you fax us at 609-683-7149. When emailing (info@triprinceton.org), please copy and paste this information into your email.

 


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