Everett Abrams
Member
REGISTRATION FORM t
NEIGHBORHOOD
Kitchen Exhaust and Wood Boot Camps
April 3-4, 2004
8:00 am – 5:00 pm each day
* Comfort Inn & Suites * Mt. Laurel, NJ
6000 Crawford Place, Mt. Laurel, NJ 08054 * Phone: 856-727-0010
To register for the BooCamps, complete this form and return it to PWNA with the appropriate fees.
Company Name _________________________________________________________________
Address ________________________________________________________________________
City _________________________________________ State ________ Zip _________________
Phone _______________________________________ Fax ______________________________
Email _______________________________________ Web ______________________________
********************************************************************************
NOTE: Non-members can join and receive the Member rate – visit the PWNA website, www.pwna.org.
WOOD Boot Camp FEES MEMBERS – 1ST COMPANY REP MEMBERS – ADD’L COMPANY REPS
(2-9; over 10 call for price) NON-MEMBER – 1ST COMPANY REP NON-MEMBER – ADD’L COMPANY REPS Wood Boot Camp $400.00 $320.00 $550.00 $470.00 Wood Certification Exam $250.00 $250.00 $350.00 $350.00 Wood Study Manual(s) REQUIRED* $45.00 plus $5.00 S/H
*Order Study Manuals online at www.pwna.org or call the PWNA office at 800-393-7962.
KITCHEN Boot Camp FEES
Price includes study materials AND certification test Member AND Non-Member Price
$799.00
ATTENDEE NAMES FOR NAME BADGES (PLEASE PRINT). USE EXTRA SHEETS IF NECESSARY.
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
TOTAL REGISTRATION and Book Order FEES $_______
PAYMENT METHOD (Please check one)
Company Check Check number _____________
American Express MasterCard Visa Discover
Credit Card Number ________________________________________
Expiration Date ____________________________________________
Name on Card _____________________________________________
Signature ____________________________________________
Return this form and registration fees to:
PWNA
6418 Grovedale Drive, Ste. 101B
Alexandria, VA 22310-2571
Phone: 800-393-7962 or 703-971-4011
Fax: 703-971-7772
Email: pwnahq@aol.com
Website: www.pwna.org
TOTAL FEES:
NEIGHBORHOOD
Kitchen Exhaust and Wood Boot Camps
April 3-4, 2004
8:00 am – 5:00 pm each day
* Comfort Inn & Suites * Mt. Laurel, NJ
6000 Crawford Place, Mt. Laurel, NJ 08054 * Phone: 856-727-0010
To register for the BooCamps, complete this form and return it to PWNA with the appropriate fees.
Company Name _________________________________________________________________
Address ________________________________________________________________________
City _________________________________________ State ________ Zip _________________
Phone _______________________________________ Fax ______________________________
Email _______________________________________ Web ______________________________
********************************************************************************
NOTE: Non-members can join and receive the Member rate – visit the PWNA website, www.pwna.org.
WOOD Boot Camp FEES MEMBERS – 1ST COMPANY REP MEMBERS – ADD’L COMPANY REPS
(2-9; over 10 call for price) NON-MEMBER – 1ST COMPANY REP NON-MEMBER – ADD’L COMPANY REPS Wood Boot Camp $400.00 $320.00 $550.00 $470.00 Wood Certification Exam $250.00 $250.00 $350.00 $350.00 Wood Study Manual(s) REQUIRED* $45.00 plus $5.00 S/H
*Order Study Manuals online at www.pwna.org or call the PWNA office at 800-393-7962.
KITCHEN Boot Camp FEES
Price includes study materials AND certification test Member AND Non-Member Price
$799.00
ATTENDEE NAMES FOR NAME BADGES (PLEASE PRINT). USE EXTRA SHEETS IF NECESSARY.
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
TOTAL REGISTRATION and Book Order FEES $_______
PAYMENT METHOD (Please check one)
Company Check Check number _____________
American Express MasterCard Visa Discover
Credit Card Number ________________________________________
Expiration Date ____________________________________________
Name on Card _____________________________________________
Signature ____________________________________________
Return this form and registration fees to:
PWNA
6418 Grovedale Drive, Ste. 101B
Alexandria, VA 22310-2571
Phone: 800-393-7962 or 703-971-4011
Fax: 703-971-7772
Email: pwnahq@aol.com
Website: www.pwna.org
TOTAL FEES: