Training Workshop Registration

Company:
Customer#:
Address:
City:
State / ZIP:
Phone:
Fax:
Dates Desired:
	Contact Name:	Contact Email:

	Attendees:	Email:
1.
2.
3.
4.
5.
Method of Payment	Credit Card (you will be contacted by phone for an account number) Invoice (PO # Required)
	What is the number one reason you are attending training? How did you find out about this workshop? If Other, please elaborate:

Four Ways to Register

Electronically

Complete the registration form and
click Submit

By Telephone

Call (866) 326-7081

By Facsimilie

Complete the registration form,
click Print Form and fax to
(585) 272-9141.
(Note: prior credit approval
required for PO numbers.)

By Mail

Complete the registration form,
click Print Form and mail to:

Bell and Howell BCC, LLC
7072 Solution Center
Chicago, IL 60677-7000
(Note: paper-check payments only.)