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. VISA Master Card AMEX

    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. VISA Master Card AMEX

      Credit Card Holder








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

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

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