Web-Based Services Registration Form



	Web-Based Services Registration Form

Name	...........................................................................................................................................
Title	...........................................................................................................................................
Company	...........................................................................................................................................
Address 1	...........................................................................................................................................
Address 2	...........................................................................................................................................
City	...........................................................................................................................................
State/County	...........................................................................................................................................
Country	...........................................................................................................................................
Telephone	............................................................. Fax.....................................................................

Product	Quantity	VAT	Price
Introduction to Retailing
Understanding Retail
Introduction to Retail Technology
Buying and Merchandising
Sales Associate Customer Service Training
RADA - The Sales Accelerator

Total
VAT
Total Due

Payment
Credit Card Type
Card Number				Valid From

Name on Card				Valid to

Signature				Security Code* *Last 3 digits on signature strip
Card Holder's Address	............................................................................................ ............................................................................................ ............................................................................................			Issue Number If applicable
FAX BACK TO:
UK Sue Ostler 01823 332 423 (+44 1823 332 423) US Ronda Smith 770 392 9476 (+1 770 392 9476)