VOICE OF THE CUSTOMER TRAINING COURSE
REGISTRATION FORM

April 6-7, 2010
Boston

Registrant 1
Salutation: Mr. Ms. Dr.
First Name: Last Name:
Title:
Company:
Address:
City: State: Zip:
Phone: Email:
Registrant 2
Salutation: Mr. Ms. Dr.
First Name: Last Name:
Title:
Company:
Address:
City: State: Zip:
Phone: Email:
Registrant 3
Salutation: Mr. Ms. Dr.
First Name: Last Name:
Title:
Company:
Address:
City: State: Zip:
Phone: Email:
Payment Information
Course registration fee $1,595
Early registration fee (prior to March 10, 2010) $1,395
Group registration fee for three or more participants $1,495 per participant
Early group registration fee for three or more
participants (prior to March 10, 2010)		 $1,295 per participant
Total number of attendees:

Total payment due to AMS: $
 Please send an invoice to the above address
Check payable to Applied Marketing Science
is enclosed
Pay by credit card. Please contact me for
credit card information.
Payment in full is required prior to course participation. Course refunds will be permitted if notified in writing of cancellation at least 30 business days prior to the event. A 50% refund will be given if notified of cancellation between 10 and 30 business days before the event. Within 10 days, no refunds will be issued. Substitutions are allowed at any time. For more information, please call Robin Bousquet, Marketing Coordinator, at (781) 250-6329 or rbousquet@ams-inc.com. Applied Marketing Science reserves the right to cancel this course due to low enrollment.