www.btfingerprinting.com

Cell: 602-463-0275

Fax: 623-842-4481

(4 Hour Class)
Class #:

Date:

Time: 

(Check-In is from xx:xx to xx:xx) (1/2 hr lunch break; lunch not included)

Location: 
               

               

**Fee: $250.00/person (min. 4 students) Non-Refundable Deposit: $25.00/person

PARTICIPANT INFORMATION (Please Type or Print Legibly)(* = Required)

*Last Name: _________________________________________________

*First Name: _________________________________________________

*Middle Initial: ____________

*Date of Birth:_____________

Street Address:______________________________________________

City:_______________________________________________________

State:______________________________________________________

ZIP Code:_____________________

*Phone:_______________________   Alternate Phone:_________________________

*Email Address:_________________________________________________________

*Company or Organization Name:________________________________________
(If Co. or Org. is paying for training)

*Office Address:_________________________________________________________

*Office Phone:______________________  *Office Fax:__________________________

*Company Email:________________________________________________________

*Company Contact Person:________________________________________________

Mail Deposits/Payments to:
BTFingerprinting
5838W Olive Ave
Ste. C-105, #282
Glendale, AZ 85302

**Method of Payment is limited to: Business Check; Money Order; Certified Bank Check. Credit or Debit cards are not accepted at this time. Personal Checks are not accepted. Please do not send cash.

Note: Non-Refundable Deposit of $25.00/student must be received by BTFingerprinting no later than (14) calendar days prior to the scheduled class date. Full Payment/Balance of FEE must be received by BTFingerprinting no later than (7) calendar days prior to the start of the scheduled Class, unless prior arrangements are approved. Special Notice: $39.00 charge for each/all returned/insufficient funds checks. Forged or Fraudulent checks will be reported to law enforcement and will be prosecuted.

Cancellation/Refund Policy: To receive a Refund, Cancellations must be received no later than (5) calendar days prior to the start of the scheduled Class. No Refunds will be given for cancellations received on the business day before the scheduled Class or later, or on the day of the Class. Cancellations must be emailed or faxed to BTFingerprinting. Refunds will be mailed within 10 days after Class Date. Class will be cancelled if a min of 4 students are not registered/paid in full.
Rev. 4/27/11