3D SYSTEMS COURSE REQUEST FORM

Please Do Not make any travel arrangements before receiving a confirmation letter to come to onsite training. Your course request is currently being processed and we will contact you as soon as your registration is completed.

Please enter your information and then click the "Submit Form" button  
 COMPANY INFORMATION

Company Name:

Address:             
City:                          State         Zip

Website URL      
Training Mgr.           Phone

Email                    

 TRAINEE  INFORMATION

First Name:        
Middle Name:    
Last Name:        

SS Number:                  
Date of Birth:      
Phone Number: 

Address:             

City:                          State     Zip

Email:                  

 COURSE  & PAYMENT INFORMATION

Enter the complete Name of the Course (include course number and title):       

Please enter your preferred course date.

Click  to view courses

 Amount $

Method of Payment
 Check via U.S.  mail       Credit Card On-Line      Credit Card via Phone       Bill Company

Type of Credit Card
 Visa            MasterCard           Discover Card           American Express

Card Number     Expiration Date         

Name on Card

If your company is to be billed for courses you select, please furnish the following information:

Purchase Order#:  

OR

Company Letter of Intent: (On company letterhead, state name, address and social security number(s)
of the employee(s) registering for course(s), name of each course, a request to  bill the company for
tuition cost and an authorizing signature. Please mail Purchase Orders to:
William W. Beaver
3D University at York Technical College 
452 S. Anderson Road
Rock Hill, South Carolina 29730.
Comments: Please include any special requests.


 

Tel: (803) 981-7349
Fax: (803) 981-7234

BBeaver@YorkTech.com