Preston Phipps

Preston Phipps celebrates 75 years of business by donating $75,000.000 to local charities.


	Seminar Registration Form

To enroll in one of our upcoming seminars, please complete the form below. Should you have any questions regarding the registration process or on our seminars in general, please contact Katie Gauthier at (514) 333-5340 or by e-mail at kgauthier@prestonphipps.com.
* Denotes required field
Name*
Company*
Address 1*
Address 2
City*
Province/State*
Country*
e-Mail*
Phone*	Ext.
Seminar*
Date*
Fax
Let us know if you have any questions or require special accommodations

For invoicing purposes, if you wish to use a different address, please complete this form:

Name
Company
Address 1
Address 2
City
Province/State
Country
Postal / Zip Code
Reference

How do you plan on paying for this course?

Check
Credit Card (We accept VISA or MasterCard)

Note: We do not process credit cards on-line. Once this form has been submitted, you will be contacted by phone to make payment arrangements.

Do you have a purchase order number?

Yes:
No