SCSI

A Center of Excellence

in

Aviation Safety Training

Individual Course Registration Form

For Use With On-Line Credit Card Payments Only

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revised:  18 April 2006

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This registration form is for one person only, registering for one or more courses at a time.

Directions:

Step 1.  Identify course titles and course dates for each course you wish to take:

Note: for the Cabin Safety Symposium, enter "Symposium" and its location (e.g., Brussels).  For pre or post-symposium course(s) enter the name of the course(s)

Note:  If you are registering for an international course,  enter the name of course and its location  (e.g., Czech Republic, Iceland, Canada)

Step 2.  Calculate the total tuition fees for all classes for which you are registering.

(Note:  if the registration fee is shown in euros, please convert the euros to dollars using the conversion rate in effect at the time of payment.  A currency converter can be found at http://www.xe.com/ucc/)

Step 3.   Calculate the taxes owed if any.  (New Mexico only @ 5.5625%)

Step 4.  Complete Credit Card Input Below

List Course(s) and Dates Selected 

Note:  When listing courses and dates, please use course designators such as  "AAI" for "Aircraft Accident Investigation." To register for the first AAI in 2005 you would enter:   AAI  23 Feb - 05 Mar 2005. If you are signing up for more than one course/event,  just enter them separated by commas such as:  SMS 2-13 Feb 2005, HFSMS 16-20 Feb 2005 and so on. [Dates are illustrative only.]

Name on Credit Card

Total Purchase Price