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    OptEM Seminar Registration Form

To register for a seminar:
* complete the registration form below, or
* send e-mail to info@optem.com, or
* contact OptEM at +1(403)289-0499.
A confirmation of the reservation will be sent out promptly to you.

Seminar Location and Date

 Seminar:

For on-site seminars please contact info@optem.com.

Registrants

Name:
Title:
Department:
Phone:
Fax:
E-mail:

 
Name:
Title:
Department:
Phone:
Fax:
E-mail:

Please e-mail additional names to info@optem.com.

Company Information

Company:
Division:

Address:
Address:

City:
  Prov/State:
  Postal/Zip:
Country:

Registration Fee

 registrant(s) x US$ per person = US$ total.

Fee (per person) = US$1,500 (individual), or
US$1,000 (two or more, same company and seminar).
Make checks payable in US dollars to OptEM Engineering Inc.
All prices in US dollars.


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OptEM is a registered trademark of OptEM Engineering Inc.

E-mail us at info@optem.com.

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