Binomial Seminar Registration Form

These seminars can fill up quickly, so reserve your seat early.

All prices are in US dollars and are per person. There is a 10% discount if more than one person is registered at the same time for the same seminar. If you register more than 30 days before the start of a seminar, an early bird discount of 15% applies for that seminar.

Early registration will also help you to get the best travel and accomodation rates.

If you wish to fax in your order with a Purchase Order, please fill the following form, print it, and fax it along with your signed purchase order to 1 (928) 441-4170. Alternatively you may wish to print out and use our Seminar Registration Form (pdf).

Choose Your Seminar Dates and Locations

The seminar schedule is still being prepared. Call 1 (877) BINOMIAL or 1 (877) 246-6642 for more information.

Attendee Names

We need the names of attendees prior to the seminar. You may substitute attendees if you notify us of the name changes prior to the seminar. If different people will be attending different seminars, please note who will be attending which seminar in the comments field at the end of this form.

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Contact Information

First Name:
Last Name:
Email:
Title:
Company:
Mailing Address:
City:
State or Province:
Zip or Post Code:
Country:
Telephone:
Fax:

Payment Information

1. Purchase Order

Purchase Order Number:

(Please fax your signed Purchase Order with a completed copy of this form to: 1 (928) 441-4170)

2. Credit Card

Card Type
Card Number:
Name On Card:
Expiry Date:	/

3. Comments or Special Requests

Comments:

Please Contact Me ...

If you prefer, you can either fill out this form and print it or fill out our registration form (PDF), and fax it to us at 1 (928) 441-4170.