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Onsite Seminar Request Form for
Customer Care and Call Handling Skills

Scheduling contact person:

Name:     
Title:        
Company:
Address:  
Address:  
City:         State: Country Zip:
Phone:      Fax: Email:
Seminar specifics:
 2-day onsite delivery ($5,000)
1-day onsite delivery ($3,000)
Number of attendees (maximum 15):
Preferred training date (1st choice):   
Preferred training date (2nd choice):  
Preferred training date (3rd choice):  

Training location:
 Same as contact address
Different address:
      Company:
      Address:  
      Address:  
      City:         State: Zip:
On site contact person:       Phone:  

Shipping instructions for training materials:
 Ship to the attention of:  Phone:
Shipping address:
Same as contact address
Same as training location address
Different address:
      Company:
      Address:  
      Address:  
      City:         State: Zip:

Travel information:
Nearest airport:  
Recommended local hotels:
   Hotel #1: Company discount ? No Yes
   Hotel #2: Company discount ? No Yes
   Hotel #3: Company discount ? No Yes

Select a payment option:
Please invoice me
Will pay by credit card upon confirmation of the training date
      Card:                     American Express         Visa         Mastercard
      Card number:         Exp. date:
      Cardholder Name:

The Resource Center for Customer Service Professionals
PO Box 401, Western Springs, IL  60558
Tel: (708) 246-0320   Fax: (708) 246-0251  

Copyright © 2004  Resource Center for Customer Service Professionals.  All rights reserved.
Last modified November 13, 2004