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Penetration Mechanics Short Course
Registration

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This in-person course will be live-streamed, registrants have the option to participate virtually.


COURSE OFFERING

September 13-17, 2021


NAME

Last Name:
First Name:
Title: Mr. Ms. Dr.
Suffix:


ADDRESS

Employer:
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
E-mail Address:
Phone Number:


CITIZENSHIP

Country of Citizenship:
Do you need a letter of invitation to process a Visa request?
Yes No


SPECIAL DIETARY NEEDS

Diet: Vegan Vegetarian Gluten-Free
None


ATTENDANCE

I will be attending: In-Person Streaming/Virtual


PAYMENT

The course cost is US $2,950.00 per registrant.
Staying at one of
the suggested hotels?
Yes No
Payment Method:

If paying by check, mail a copy of your registration confirmation with your name to:

Janet Banda
Southwest Research Institute
P.O. Box 28510
San Antonio, Texas 78228-0510

Registering More Than One Participant?

To register more than one participant with one credit card transaction, complete the form above for the first participant, click the "Register" button, and you'll be taken to the Thank You page. Click on the “Pay Now” button, which will take you to the Shopping Cart System screen, then click on the “Click Here To Continue Shopping” link toward the bottom. You will return to this registration form to fill it out for another participant, and so on.

When all participants have been registered, click on “Send Order” on the Shopping Cart System screen to pay by credit card.

 

For questions, contact Janet Banda or call +1 210 522 2386.