ALGOR Training Order Form

Instructions: To order training, please print and complete this form by indicating the desired dates and locations.

Please refer to our listed training dates, locations and prices by clicking here. Then, fax or mail this form to ALGOR, Inc., 150 Beta Drive, Pittsburgh, PA 15238-2932 USA.

To talk to an account manager:

Phone/Fax
 
  		• Phone   1.412.967.2700
  		• Fax 1.412.967.2781

    If calling from Phone
     
  		• USA/Canada     1.800.48.ALGOR (1.800.482.5467)
  		• France 0.800.918.917
  		• Italy 800.783.132
  		• Singapore 800.120.3775
  		• United Kingdom 0.800.731.0399
  		• All other countries 1.412.967.2700

    ALGOR Training Ordering Information:

    Course Number(s) ____________________________________________________

Date(s) _____________________________________________________________

Location ____________________________________________________________

Attendees' Names ____________________________________________________

    I have read and understand the Classroom Seminar Terms and Conditions:

    Signature ____________________________________

Date _________________________________________

    Billing Information:

    Name ________________________________________________________________

Company _____________________________________________________________

Address _____________________________________________________________

        _____________________________________________________________

City ______________________________ State _______ ZIP _______________

Country _____________________________________________________________

Phone (_________)___________-___________________

Fax   (_________)___________-___________________

E-mail_______________________________________________________________

    Three Ways to Pay:

    __ Charge to Credit Card Number:

    __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 

    Expiration Date _______________________
    __ American Express    __ MasterCard
    __ VISA   __ Diner's Club   __ Discover
    Amount
    		 
                                  
       Cardholder's Name ________________________________________________

   Authorized Signature _____________________________________________

   Date ________________________________

__ Wire Transfer Within USA: ABA Routing Code 036076150
   Account Number: 610170-621-8 Citizens Bank, 1 Citizens Dr., 
   Riverside, RI USA


__ Wire Transfer Outside USA: Swift Code CTZIUS33
   Account Number: 610170-621-8 Citizens Bank, 1 Citizens Dr., 
   Riverside, RI USA


__ Check Enclosed (Make Payable to ALGOR, Inc.)