PBET Workshop Schedule and Registration Form

Registration Form and Directions

Follow all four steps below for ONE (of your 5 or more expected participants. As stated at the top of this page, you must have at least five participants that come to my location. [If you insist on sending less than five people, then you must pay the fee for five people anyway.] On this form, you will supply the name of only one participant. I will ask for the additional name(s) upon confirmation.
Note: Registrations that are canceled within 30 calendar days prior to the start date of the course are non-refundable. You do have the option of (a) changing the name of the participant at any time, and (b) re-scheduling the course to another mutually convenient week within six months of the date of the cancelled course. However, if you cancel within 30 calendar days prior to the start date of the course - there is no refund whether you re-schedule or not.

LIST PREFERRED DATES.

Which week works best for you? List 3 weeks in order of your preference. Use MONDAY as the start date. For example, "#1 - Week starting Monday March nn."

ENTER PARTICIPANT INFORMATION by typing in the required fields below.
If you are registering yourself: Skip b & c.
If you are registering another person, complete b & c.
All other information after "c" concerns the participant.
NOTE: You must complete "f) Participant email." If that is left empty, I will not get your submission even though you get sent to a 'Thank You' page.

a) Company:
b) YOUR Name:
c) YOUR Tel:
d) Participant Name:

e) Participant Tel:
f) Participant email:
g) M/S or Suite:
h) Street:
i) City:

j) State/Province:
k) Zip/Postal Code:
l) Country:
m) Participant's Job Title:
n) Type of machine or equipment on which participant works or trains:

o) Participant's responsibilities include [all 4 categories must add up to a total of 100%]:

Training:% of average month
Training Development:% of average month
Service:% of average month
Other:% of average month

p) OPTIONAL- Any other message about this registration for Richard Goutal at Solid Performance Solutions:

INDICATE METHOD OF PAYMENT. Click on one box below. Read any additional notes or directions associated with the box you have selected. NOTE: Credit cards are not accepted.

1) Payment will be made from within the United States... by check in advance of workshop. NOTE: If you select this payment method,

You will receive tentative confirmation along with an invoice within 72 hours via email.
You will receive final confirmation only after the check has been received by Solid Performance Solutions. Therefore, mail your check at least 30 days prior to the date of the Workshop, in accordance with the directions in the invoice.
2) Payment will be made from outside the United States... by wire transfer of the full amount in US funds in advance of the workshop. NOTE: If you select this payment method,

You will receive tentative confirmation within 72 hours via email. At that time, you will be given an invoice to facilitate matters with your finance department, along with wiring instructions. You will be asked to indicate when the wire transfer will take place. (Payment must be received received at least 30 days prior to the date of the Workshop If there are fewer than four weeks remaining until the workshop, the transfer should be completed immediately.)
You will receive final confirmation only after the full amount of the US funds have been received by Solid Performance Solutions.
If there are any questions about this process, please email me at Solid Performance Solutions: rgoutal@MrPBET.com

Click the "Submit" Button Below to send this registration to Solid Performance Solutions. (If you prefer, you can fill out the form, scan it, and email it to us.)
Your information will be sent to Solid Performance Solutions by email without encryption.
You will be sent to a "Thank You" page once the submission is complete.