Atterbury Consultants

	Atterbury Consultants, Inc.
	Your Forestry Resource Center
	"We Make Professional Forestry Understandable"

Seminar Registration Form

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Please print this form out, fill in all appropriate blanks, and fax to 503/644-1683. This form is for mailing or faxing only. Please do not e-mail this form or your credit card number. You can register online here. You can find our mailing address here.

Name
Title
Company
Address
City
State
Zip Code
Phone Number
Fax Number
E-Mail
Seminar Title(s)
Seminar Dates(s)
Seminar Location
Seminar Fee
Payment Method	Check # _______ Purchase Order # ______________
Credit Card	MC ___ VISA ___ American Express ___
Card Number	__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Exp. Date	____/____/____
Name on Card

Payment or purchase order is required prior to the seminar.

If the minimum requirement for attendance is not met, the seminar will be canceled, and the registration fee will be refunded.

CANCELLATION POLICY: Registration fees will be refunded only if a notice of cancellation is received at least seven days prior to the scheduled seminar date. Substitution of personnel is recommended in lieu of cancellation. The registration may be transferred to another seminar if notification is received at least seven days prior to the scheduled seminar date.