Dowco Online Learning Network CONNECTION DESIGN FOR STRUCTURAL STEEL COURSE

Dowco Educational Services Ltd. 604-606-5734 1-888-773-6926 ext 5734 Fax: 604-606-5818 info@connectiondesign.ca

In order to protect you credit information and keep with credit card security standards, electronic copies of this course application will NOT BE ACCEPTED. Please return your application by fax to 604-606-5818.

1. Billing Information
Company / Name on Invoice Address

2. Student Information
Student Name Student Email Address Student Phone

City

Province

Postal Code

3. Course Information Course Connection Design for Structural Steel Includes 1 year unlimited access to the course HST/GST*
* Taxes apply depending upon province of residence Referral Code (if applicable)

Annual Course Fee $ 795.00 CDN

TOTAL $

CDN

4. Payment Information & Account Authorization Visa Card No. MasterCard Name on Card: Exp. Date

/
mm/yy

I hereby authorize Dowco Consultants Ltd. to debit my credit card for full course fee as per the course option selected and that my signature constitutes Signature on File. By signing below I also agree to be bound by Dowcos Terms and Conditions at www.connectiondesign.ca.

Signature

Date

Registrations in the COURSE are only confirmed upon receipt of full payment of the course fee. All sales are final. Refund or exchanges of courses is not allowed. Applications will be processed within 5 business days of receipt. In order to access and use this course, you will be provided with a login and password. For office use only Login INV Conf: Effective Date Initial