Training Registration Form

If you have additional questions or comments please contact our Customer Support Department. You may also print the survey and submit it by fax or postal mail.

PLEASE NOTE: Steel-toed footwear must be worn by all training attendees.

Company Name:		Contact:
Company Phone #:		Fax #:
Address:
City:		State:
Zip:		Email:

Class Name And/Or Dates:
Attendee Name(s):

Arrival Information:

Date:

Time:

Airport:

First Night:

Check-out date:

Hotel Preference:
(Somero Will Make Arrangements & Send You A Confirmation With Directions)

Model of Laser Screed (please choose one):

Screed Model Year:

Serial number:

Operating System:

Purchased:

Date Purchased:

Salesman:

Check here if you are a new customer

NOTE: Prepayment for training class is required if training is not included in purchase price. Hotel expenses not paid directly to the hotel will be billed within 45 days after attending class.

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