REGISTRATION FORM

PLEASE FILL OUT THE FORM AND FAX TO HCF AT 512-794-3904
Information on transportation and accommodations will be sent two weeks prior to the workshop

Registration deadline for each workshop is FOUR WEEKS prior to the workshop date.

WORKSHOP PARTICIPANT INFORMATION

Student Name _____________________________ Company Name _________________________________

Postal Address _____________________________________________________________________________

Phone _________________ Fax: _________________ E-Mail ______________________________________

COURSE SELECTION

HART Fundamentals

Date _________ Location ______________ Price: HCF Members: 1st & 2nd Day: $1250 4 Days: $2500

Non-members:

1st & 2nd Day: $2000

4 Days: $4000

Writing Device Descriptions

Date _________ Location ______________ Price:

$3000 (HCF Member)

$5000 (non-member)

PAYMENT OPTIONS (check one):

Purchase Order ____________________ (Members Only)

Check should be mailed to the HCF: 9390 Research Blvd. Ste. I-350, Austin, TX 78759

Wire transfer can be made to: Chase Bank, 2711 W. Anderson Lane, Austin, TX 78757
    Phone: (512) 406-0316, Acct. No.: 734361678, Bank Routing No.: 111000614 Swift Code: CHASUS33

Credit Card Visa ___ MasterCard ___ American Express ___

    Card Number _________________________ Exp. Date __________

    Cardholders Name _________________________________________

CANCELLATION POLICY - There will be no cancellation fee if you cancel your registration in writing more than 28 days prior to the workshop. Written cancellations received 7 to 14 days prior to the workshop are subject to a 50% cancellation fee. Written cancellations received 7 or fewer business days prior to the workshop are subject to a 100% cancellation fee. If you fail to cancel prior to the start of the workshop, and are unable to attend, you will be assessed a 100% cancellation fee as well. Substitutions may be made at any time prior to the workshop, however a new registration form must be completed for the substitute prior to the workshop. HCF reserves the right to cancel the workshop 14 days prior to the workhop.

CERTIFICATION

I have read and understand the terms and conditions of the HCF cancellation policy and payment terms.

______________________________
Signature

__________________________ ________________
Name/Title Date