Service Management Classroom Enrollment Form


Welcome to the Service Management Seminar Enrollment Form.  Please complete the following information.  All fees will be direct billed to the dealership by mailed invoice. 

 

Investment amount:

Please provide the following contact information:

Name
Title
Dealership
Work Phone
FAX
E-mail
Manufacturer Code  

 

Please provide the following participant information and select a class preference.  We will attempt to accommodate your request to the best of our ability. 

Participant Name Dealership Position Class Location Preference

 

Please Enter Billing Information (this information will be used for payment of the training) - All payment must be received in advance of attending the course

Contact Person (if same as above please enter SAME)
Mailing Address  
City
State/Province
Zip/Postal Code
Country
PO Number (if required)

 

***Time and location of the classes will be finalized once enrollment is complete.  CME & Associates will contact person above VIA EMAIL once classes are scheduled.  If attendance in a market is not sufficient to hold a class, CME & Associates will contact the person above to investigate if the customer requests to attend a class in a different market.  If the customer refuses the enrollment will become null and void.***

CUSTOMER WILL NOT BE BILLED UNTIL AFTER THEY HAVE BEEN SCHEDULED FOR A CLASS.  CONTACT PERSON ABOVE MUST APPROVE SCHEDULED PERSONNEL.

 

**IMPORTANT - The authorization section below must be completed**

Enrollments received without authorization will not be processed

I authorize CME & Associates, LLC, to provide the requested service(s) specified above, which are more fully described in the Service Manager Seminar web page.  I understand payment is due upon the execution of this agreement and that I will be billed once receipt of this form is acknowledged. 

Please enter a six digit numerical verification code.  This code will be used to verify your enrollment and will be included on the invoice for verification purposes.  This code will act as the approval signature and agreement to the terms and conditions above.

 

 

Print a copy for your records


Author information goes here.
Copyright © 2003 CME & Associates, LLC. All rights reserved.
Revised: 10/15/07