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Course Registration Form

NEW REGISTRATION FOR ‘M’ and ZUBA with “P” SERIES AUTHORIZED TECHNICIAN CARD

Maximum Attendees Per Class = 15

    Technician Name*

    MEQ Technician No. (if known)

    Company City

    Province

    Postal Code

    Company Phone No.*

    Company Fax No.*

    Company Email Address*

    Registration Fee $ 50.00 / participant (REFUNDABLE)*
    Service Tool ** $ 90.00 / kit. Tax Extra

    Cheque, payable to Mits AirConditioning Inc.VISAMaster CardAMEX

    Credit Card Holder

    Credit Card Account #

    Expired Date*

    3 Digit Security Code*

      Registration Fee $ 50.00 / participant (REFUNDABLE)*
      Service Tool ** $ 90.00 / kit. Tax Extra

      Cheque, payable to Mits AirConditioning Inc.VISAMaster CardAMEX

      Credit Card Holder

      Head Office: Mississauga
      1608 Bonhill Road, Mississauga, ON L5T 1C7
      1 (800) 567 - 2221
      info@mitsair.com

      Barrie Branch
      691 Dunlop Street W., Barrie, ON L4N 9W9
      1 (800) 688 -1673
      barrie@mitsair.com

      London Branch
      90 Towerline Place, London, ON N6E 2T1
      1 (519) 914 - 9000
      london@mitsair.com

      Windsor Branch
      11629 County Road 42, Tecumseh, ON N8N 0H1
      1 (519) 914 - 0332
      windsor@mitsair.com