COMTREA REGISTRATION – MAIL FORM

INSTRUCTIONS: please fill out the form below and submit it to us.

   If there is a fee for the event, please print a copy of this form and send it to Training, COMTREA, 227 Main St, Festus, MO 63028, with remittance or a Purchase Order after submitting it via E-Mail.  The on-line registration will hold your place until financial arrangements have been confirmed.

EVENT ______________________________________

DATE __________________________  TIME ___________________

LOCATION _________________________________

COST _______________

NAME OF REGISTRANT __________________     ___________________

                                       LAST                                      FIRST

REGISTRANT’S ADDRESS

   E-MAIL ______________________________________

   TELEPHONE _________________________________

   MAILING ADDRESS ________________________________________

                                       _________________________________________

                                       CITY _____________________________________

                                       ZIP CODE __________________

COMMENT(S) ___________________________________________________

_______________________________________________________________