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Registration Form

PLEASE NOTE:
 
We are now davTeks enTerprises,
Click here for our new website and updated information
on Computer Classes in Miami

 

After completing the fields below, click the Submit button to send the form. We will contact within 1 business day to schedule your training session.  A registration acknowledgement page will be displayed if your submission succeeds.

Note:
* indicates a required field. If not applicable, type in "N/A."

 

 

Course Options * 


Contact Information

*Name / Contact 

 
Company  
Address  
City   State   Zip
*Phone  
Fax  
*E-Mail  
How Many    1  2  3  4  More
 
     

Name of Participant(s)

*1st Name  
2nd Name  
3rd Name  
4th Name  
     
Amount to Paid $  
     
Method Of Payment   Credit Card
Check
Purchase Order
Select One   None  Visa   MastedCard Amex 
     

Credit Card Information

     
Card Holder Name  
 Address  
 City, St  Zip  
Credit Card No#     Exp

We reserve the right to cancel due to low enrollment.

 

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