Film Product Film Product Installation Training nstallation ... - Llumar
Film Product Film Product Installation Training nstallation ... - Llumar
Film Product Film Product Installation Training nstallation ... - Llumar
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Topic Topic Choice<br />
Choice<br />
Solutia’s Mid-Atlantic Regional Center<br />
<strong>I<strong>nstallation</strong></strong> <strong>Training</strong> Rep.<br />
4210 The Great Rd<br />
Fieldale, VA. 24089<br />
(Martinsville <strong>Training</strong> Site)<br />
Ph: 800.851.7781<br />
Fax: 276.627.3865<br />
<strong>Film</strong> <strong>Film</strong> <strong>Product</strong> <strong>Product</strong> <strong>I<strong>nstallation</strong></strong> <strong>nstallation</strong> <strong>Training</strong><br />
Registration Registration Form orm<br />
Automotive Automotive Window Window <strong>Film</strong> <strong>Film</strong> (standard (standard or or safety)<br />
safety)<br />
$1000.00 USD/person • Five Day Course • Tool Kit Provided • Lunch Included<br />
Architectural Architectural Solar & 44/6<br />
4<br />
/6 mil mil Safety Safety <strong>Film</strong> <strong>Film</strong>s <strong>Film</strong> (<br />
(Residential/Commercial<br />
Residential/Commercial<br />
Residential/Commercial)<br />
Residential/Commercial<br />
$600.00 USD/person • Two Day Course • Tool Kit Provided • Lunch Included<br />
Auto Auto Paint Protection <strong>Film</strong><br />
$850.00 USD/person • Two Day Course • Tool Kit Provided • Lunch Included<br />
Advanced Advanced Safety Safety & & Security Security <strong>Film</strong> <strong>Film</strong> ( (Architectural ( Architectural<br />
Architectural) Architectural / / / 7 7 mil mil + + and and Anchoring Anchoring Anchoring SSystems<br />
SS<br />
ystems<br />
$300.00 USD/person • One Day Course • Tool Kit Provided • Lunch Included<br />
Planned Planned Date of Attendance ______________________________<br />
_____________________________<br />
Attendee Attendee Information<br />
Information<br />
Name(s)<br />
Company Name _______________<br />
Address (home or business) _____<br />
City, State, Zip Code<br />
Daytime Phone Number _______________________<br />
Email Address _______________________________<br />
Payment Payment**<br />
Payment **<br />
Cashier’s Check / Money Order ** (Make ake<br />
ake cashier’s cashier’s check or or money ord order ord<br />
er er pa payable pa yable to ‘Solutia ‘Solutia Inc. Inc.’) Inc.<br />
Bill to My Existing Business Account (Owner authorization & must be actively purchasing Solutia products)<br />
Credit Card ** (Sorry, we do not accept debit card)<br />
** PPayment<br />
P Payment<br />
ayment must must be be delivered delivered to to to the the appropriate appropriate Train <strong>Training</strong> Train ing Facility Facility address address below below, below<br />
, , preferably preferably well well in in advance advance of attending aany<br />
a<br />
ny of Solutia’s<br />
training training session sessions session (preferably (preferably 11-3<br />
1 3 weeks weeks prior to start date) date). date)<br />
Complete Complete and and return return this this form form along along with with class class fee fee to to the the appropriate appropriate appropriate address address listed listed.<br />
listed<br />
** Solutia’s Texas Regional Center<br />
<strong>I<strong>nstallation</strong></strong> <strong>Training</strong> Rep.<br />
1385 Westpark Way<br />
Euless, TX. 76040<br />
(Dallas <strong>Training</strong> Site)<br />
Ph: 800.762.3328<br />
Fax: 817.354.4274<br />
** Solutia’s Western Regional Center<br />
<strong>I<strong>nstallation</strong></strong> <strong>Training</strong> Rep.<br />
1849 West Sequoia Av<br />
Orange, CA. 92868<br />
(Los Angeles Site)<br />
Ph: 800.447.8468<br />
Fax: 714.634.0975
Solutia’s Mid-Atlantic Regional Center<br />
<strong>I<strong>nstallation</strong></strong> <strong>Training</strong> Rep.<br />
4210 The Great Rd<br />
Fieldale, VA. 24089<br />
(Martinsville <strong>Training</strong> Site)<br />
Ph: 800.851.7781<br />
Fax: 276.627.3865<br />
CREDIT CARD ACCEPTANCE FORM<br />
CUSTOMER’S CUSTOMER’S NAME: NAME: _______________<br />
________________________________________________________________________<br />
_______________<br />
_________________________________________________________<br />
_________________________________________________________<br />
COMPANY COMPANY NAME NAME (optional) (optional): (optional)<br />
______ __________________________________________________________________<br />
______<br />
____________________________________________________________<br />
CARDHOLDER’S CARDHOLDER’S NAME NAME (if different from above) above): above)<br />
______________<br />
___________________________________________________<br />
______________<br />
_____________________________________<br />
CARDHOLDER’S CARDHOLDER’S ADDRESS: ADDRESS: ______________<br />
__________________________________________________________________<br />
______________<br />
____________________________________________________<br />
____________________________________________________<br />
CARDHOLDER’S CARDHOLDER’S PHONE NUMBER:<br />
CARDHOLDER’S CARDHOLDER’S DRIVERS DRIVERS LISCENSE LISCENSE #:<br />
#:<br />
STATE STATE ISSUED:<br />
ISSUED:<br />
NAME NAME OF OF CARD:<br />
CARD:<br />
_____<br />
______________<br />
__________________________________________<br />
______________<br />
____________________________<br />
____________________________________________________<br />
____________________________ ________________________<br />
_____________________<br />
_____________________<br />
_____________________<br />
_____________________<br />
_______________________________________________<br />
CREDIT CREDIT CARD CARD BILLING ADDRESS (if (if different from from above) above): above)<br />
** Solutia’s Texas Regional Center<br />
<strong>I<strong>nstallation</strong></strong> <strong>Training</strong> Rep.<br />
1385 Westpark Way<br />
Euless, TX. 76040<br />
(Dallas <strong>Training</strong> Site)<br />
Ph: 800.762.3328<br />
Fax: 817.354.4274<br />
___________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
ISSUING ISSUING ISSUING BANK BANK NAME NAME: NAME<br />
BANK BANK PHONE PHONE NUMBER NUMBER: NUMBER<br />
CREDIT CREDIT CARD CARD TYPE: TYPE:<br />
MMastercard<br />
M astercard<br />
CARD CARD NUMBER:<br />
NUMBER:<br />
EXPIRATION EXPIRATION DATE:<br />
DATE:<br />
_______________<br />
_______________________________________________________<br />
_______________<br />
________________________________________<br />
_________________________________________<br />
VISA<br />
VISA<br />
_____________________________________________________________<br />
_____________________________________________________________<br />
___ _________ ___<br />
______<br />
SECURITY SECURITY CODE: CODE: _______<br />
I hereby grant Solutia Inc. authorization to charge the above credit card number for fees related to training class cost.<br />
X ____________________________________________<br />
____________________________________________<br />
CARDHOLDER’S CARDHOLDER’S AUTHORIZING SIGNATURE<br />
DATE DATE SIGNED: SIGNED: ___________________________<br />
___________________________<br />
** Solutia’s Western Regional Center<br />
<strong>I<strong>nstallation</strong></strong> <strong>Training</strong> Rep.<br />
1849 West Sequoia Av<br />
Orange, CA. 92868<br />
(Los Angeles Site)<br />
Ph: 800.447.8468<br />
Fax: 714.634.0975
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