• $425.00 Fee for 2 Days Seminar
(16 PDH's (includes 2 PDH in ethics)).

• $349.00 Fee for 1 Day Seminar
(15 PDH  (includes 1 PDH in ethics)).

The Seminar includes Continental
breakfast, Lunch and Breaks

Seminar Form:

Registration by check: If you are registering for the seminar with a check or money order, simply fill in the form below, click method of payment by check and submit.

You will receive an email with all the information that you filled out. Print the email and send it along with a check or money order to our address on the form.

Please send in a check for $425.00 if you are registering for a two-days seminar or $349.00 if you are registering only for a one-day seminar. Please indicate on the form which days you will be attending. Please make the check payable to Failure & Damage Analysis, Inc.

Registration by credit card: If you are registering for the seminar by credit card, simply fill in the form below, click method of payment by credit card, submit and follow through with your credit card information to finish your on line registration. You will receive an email confirmation of your registration.

Cancellation

You may cancel your registration and get a refund (less a $50 enrollment Charge) if we receive notice at least 7 days before the seminar date. Refunds are based on the original price. No refunds will be made for late cancellation, sickness or absence.


Ordering by Credit Card (Form)

Please fill and complete all the (*) required area bellow:

 
Which city, day and date
you are registering for:
  *
  One-Day (Texas)
  $349
  One-Day (Louisiana)   $349
  Two-Day (Louisiana)   $425
First name   *
Last name   *
Address   *
City   *
State   *
Zip Code   *
Branch of Engineering
 
How did you hear about us  
Daytime telephone No:
  *
Fax  
Email   *
PE Registration No.   *
State Registered In?   *
Pay By:  


Ordering by Check (Form)

Please fill and complete all the (*) required area bellow:

 
Which city, day and date
you are registering for:
  *
  One-Day (Texas)
  $349
  One-Day (Louisiana)   $349
  Two-Day (Louisiana)   $425
First name   *
Last name   *
Address   *
City   *
State   *
Zip Code   *
Branch of Engineering
 
How did you hear about us  
Daytime telephone No:
  *
Fax  
Email   *
PE Registration No.   *
State Registered In?   *
Pay By:  

 

If you encounter any problem in filling the form, simply write down all the necessary information and send it along with your check/money order to our mailing address below

Failure & Damage Analysis, Inc.
2620 Fountain View, Suite 405
Houston , Texas 77056

 
Copyright © 2004 PEPDH.com. All rights reserved

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